DR. Brian Le Ta, DMD

NPI #1750948790 in Kent, Washington

Provider Information

NPI Number
1750948790
Entity Type
Individual
Name
DR. Brian Le Ta, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
May 24, 2019
Last Updated
Aug 6, 2019

Practice Location

Address
510 WASHINGTON AVE N
City
Kent
ZIP Code
98032-4453
Phone
(919) 740-7012

Specialties & Taxonomy Codes

Specialty
Dentist

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