Provider Demographics
NPI:1427479302
Name:THANH HA LE, DDS PLLC
Entity type:Organization
Organization Name:THANH HA LE, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THANH HA
Authorized Official - Middle Name:THI
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-243-6900
Mailing Address - Street 1:2320 E BASELINE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-6951
Mailing Address - Country:US
Mailing Address - Phone:602-243-6900
Mailing Address - Fax:602-243-6902
Practice Address - Street 1:2320 E BASELINE RD STE 160
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-6951
Practice Address - Country:US
Practice Address - Phone:602-243-6900
Practice Address - Fax:602-243-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health