Provider Demographics
NPI:1871669986
Name:LE, TUAN NHA (DMD)
Entity Type:Individual
Prefix:
First Name:TUAN
Middle Name:NHA
Last Name:LE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1043
Mailing Address - Country:US
Mailing Address - Phone:703-671-8431
Mailing Address - Fax:703-671-3511
Practice Address - Street 1:3608 FOREST DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1043
Practice Address - Country:US
Practice Address - Phone:703-671-8431
Practice Address - Fax:703-671-3511
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014119661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice