BRIAN LE TA

KENT, WA
NPI1750948790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60980113)
Enumeration Date2019-05-24
Last Update Date2019-08-06
Business Address
Dr. BRIAN LE TA DMD
510 WASHINGTON AVE N
KENT, WA 98032-4453
Phone number: 919-740-7012
Mailing Address
Dr. BRIAN LE TA DMD
9128 PALM BAY CIR
RALEIGH, NC 27617-7776
Phone number: 919-740-7012
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