Provider Demographics
NPI:1013251107
Name:AU, LE PHOI-CHAU (RDH)
Entity Type:Individual
Prefix:MRS
First Name:LE
Middle Name:PHOI-CHAU
Last Name:AU
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16637 SE 69TH WAY
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5675
Mailing Address - Country:US
Mailing Address - Phone:425-378-9400
Mailing Address - Fax:
Practice Address - Street 1:16637 SE 69TH WAY
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-5675
Practice Address - Country:US
Practice Address - Phone:425-378-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH60203869124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist