MEDICARE: DR. ROBIN D LEE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3749	NV

General Provider Information

NPI Number	:	1952376220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN D LEE DDS

Provider Business Mailing Address
First Line	:	1471 N. JONES BLVD
Second Line	:	TODAY'S DENTAL AND ORAL SURGERY
City	:	LAS VEGAS
State	:	NV
Zip	:	89108
Country	:	US
Telephone Number	:	702-851-6722
Fax Number	:	702-636-0678

Provider Business Practice Location Address
First Line	:	1471 N JONES BLVD
Second Line	:	TODAY'S DENTAL AND ORAL SURGERY
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1610
Country	:	US
Telephone Number	:	702-851-6722
Fax Number	:	702-636-0678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	03/27/2015

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