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1912453085
SALLY AI THIEN LE
BROKEN ARROW, OK
NPI
1912453085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 6795)
Enumeration Date
2016-08-29
Last Update Date
2016-08-29
Business Address
Dr. SALLY AI THIEN LE D.D.S
6416 S ELM PL
BROKEN ARROW, OK 74011-4819
Phone number: 918-940-3244
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Mailing Address
Dr. SALLY AI THIEN LE D.D.S
3704 S MIMOSA AVE
BROKEN ARROW, OK 74011-1143
Phone number: 918-853-1128
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