Provider Demographics
NPI:1720253933
Name:LE, HA NGOC (DMD)
Entity type:Individual
Prefix:DR
First Name:HA
Middle Name:NGOC
Last Name:LE
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:3985 STEVE REYNOLDS BLVD
Mailing Address - Street 2:BUILDING O, SUITE 101
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3035
Mailing Address - Country:US
Mailing Address - Phone:678-205-1308
Mailing Address - Fax:678-205-1345
Practice Address - Street 1:3985 STEVE REYNOLDS BLVD
Practice Address - Street 2:BUILDING O, SUITE 101
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3035
Practice Address - Country:US
Practice Address - Phone:678-205-1308
Practice Address - Fax:678-205-1345
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-07-03
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Provider Licenses
StateLicense IDTaxonomies
GADN0137131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice