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1114169240
THAO LE
BOSTON, MA
NPI
1114169240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MA DL10794)
Additional Taxonomies
122300000X Dentist
(Licence: CA 58063)
Enumeration Date
2009-04-06
Last Update Date
2009-09-25
Business Address
Dr. THAO LE DDS
188 LONGWOOD AVE
BOSTON, MA 02115-5819
Phone number: 510-813-4042
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Mailing Address
Dr. THAO LE DDS
170 BROOKLINE AVE UNIT 915
BOSTON, MA 02215-3924
Phone number: 510-813-4042
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