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NPI Code Detail

MEDICARE: DR. DANIEL LEE D.D.S.

MEDICARE: DR. DANIEL LEE D.D.S.
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
11223G0001XGeneral Practice Dentistry4554NV

General Provider Information

NPI Number : 1952649006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL LEE D.D.S.
Provider Business Mailing Address
First Line : 7260 W AZURE DR
Second Line : #110
City : LAS VEGAS
State : NV
Zip : 89130-7999
Country : US
Telephone Number : 702-821-1688
Fax Number : 702-636-1688
Provider Business Practice Location Address
First Line : 7260 W AZURE DR
Second Line : #110
City : LAS VEGAS
State : NV
Zip : 89130-7999
Country : US
Telephone Number : 702-821-1688
Fax Number : 702-636-1688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2013
Last Update Date : 01/24/2013

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Directions to “ DR. DANIEL LEE D.D.S.” Practice Location

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