Provider Demographics
NPI:1760505473
Name:LE, ANH N (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:N
Last Name:LE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4634
Mailing Address - Country:US
Mailing Address - Phone:972-874-7774
Mailing Address - Fax:
Practice Address - Street 1:18484 PRESTON RD
Practice Address - Street 2:SUITE 212
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5400
Practice Address - Country:US
Practice Address - Phone:972-867-3994
Practice Address - Fax:972-867-9185
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice