Johnny Le Pllc

NPI #1942176201 in Maple Valley, Washington

Provider Information

NPI Number: 1942176201
Entity Type: Organization
Organization Name: Johnny Le Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 14, 2025
Last Updated: Oct 14, 2025

Practice Location

Address: 27202 MAPLE VALLEY-BLACK DIAMOND RD SE
Address 2: STE 104
City: Maple Valley
State: Washington
ZIP Code: 98003
Phone: (425) 341-1671

Authorized Official

Name: CAROL CANAVA
Title: VP REVENUE CYCLE
Phone: (972) 361-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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