Provider Demographics
NPI:1467608109
Name:LE, HIEU NGOC (DMD)
Entity Type:Individual
Prefix:MRS
First Name:HIEU
Middle Name:NGOC
Last Name:LE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 KENDALE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-4736
Mailing Address - Country:US
Mailing Address - Phone:214-350-8800
Mailing Address - Fax:214-350-8800
Practice Address - Street 1:2823 KENDALE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-4736
Practice Address - Country:US
Practice Address - Phone:214-350-8800
Practice Address - Fax:214-350-8800
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice