THAO LE

BOSTON, MA
NPI1114169240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MA  DL10794)
Additional Taxonomies122300000X Dentist
(Licence: CA  58063)
Enumeration Date2009-04-06
Last Update Date2009-09-25
Business Address
Dr. THAO LE DDS
188 LONGWOOD AVE
BOSTON, MA 02115-5819
Phone number: 510-813-4042
Mailing Address
Dr. THAO LE DDS
170 BROOKLINE AVE UNIT 915
BOSTON, MA 02215-3924
Phone number: 510-813-4042