Provider Demographics
NPI:1801064092
Name:LE & LE DDS PLLC
Entity type:Organization
Organization Name:LE & LE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-448-3527
Mailing Address - Street 1:2070 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 530
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2536
Mailing Address - Country:US
Mailing Address - Phone:703-448-3527
Mailing Address - Fax:
Practice Address - Street 1:2070 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 530
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2536
Practice Address - Country:US
Practice Address - Phone:703-448-3527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007797261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental