Mount Dora Modern Dentistry, PA
NPI #1659815306 in Eustis, Florida
Provider Information
- NPI Number
- 1659815306
- Entity Type
- Organization
- Organization Name
- Mount Dora Modern Dentistry, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 15, 2016
- Last Updated
- Feb 10, 2022
Practice Location
Authorized Official
- Name
- DR. THIEN LE, DMD
- Title
- OWNER
- Phone
- (352) 270-3015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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