Provider Demographics
NPI:1831370311
Name:LE, HANG THANH (DDS)
Entity type:Individual
Prefix:DR
First Name:HANG
Middle Name:THANH
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 1:3930 PENDER DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-0985
Mailing Address - Country:US
Mailing Address - Phone:571-969-3368
Mailing Address - Fax:703-865-8353
Practice Address - Street 1:3930 PENDER DR
Practice Address - Street 2:SUITE 220
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-0985
Practice Address - Country:US
Practice Address - Phone:571-969-3368
Practice Address - Fax:703-865-8353
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411845122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist