Most Relevant Information
Provider Data
  | NPI Number: | 1003549296 | 
| Provider Name: | JOEY LE DMD | 
| Entity Type: | Individual | 
| Taxonomy Code: | 1223G0001X | 
| Specialty: | Dentist | 
| License Number: | 38709 | 
Most Important Dates
  | Enumeration Date: | 07/05/2022 | 
| Last Updated: | 10/03/2022 | 
Provider Practice Location
  2615 W PIONEER PKWY STE 102
      
      GRAND PRAIRIE
      TX
      750513602
  Practice Location Phone/Fax
      | Phone: | 9723522980 | 
| Fax: | 
Provider Mailing Location
  2615 W PIONEER PKWY STE 102
      
      GRAND PRAIRIE
      TX
      750513602
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |