| NPI | 1467841163 |
|---|---|
| Former Name | THIEN-KIM LE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS102283) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021449) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2018-12-27 |