Provider Demographics
NPI:1811154529
Name:LE, LUONG-HUNG N (DDS)
Entity type:Individual
Prefix:
First Name:LUONG-HUNG
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14637 LEE HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-5830
Mailing Address - Country:US
Mailing Address - Phone:703-266-9099
Mailing Address - Fax:
Practice Address - Street 1:14637 LEE HWY STE 104
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-5830
Practice Address - Country:US
Practice Address - Phone:703-266-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410454122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist