Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH.002025635 | CO |
N | 124Q00000X | Dental Hygienist | DH27122 | FL |
NPI | 1043853823 |
---|---|
Provider Name | Hanh Le |
First Address | Aurora, CO 80010-1216 |
Second Address | Denver, CO 80231-5413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2019 |
Last Update Date | 23/10/2019 |