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NPI Code Detail

MEDICARE: DR. DAVID W LEE D.D.S.

MEDICARE:  DR. DAVID W 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 Dentistry3528NV

General Provider Information

NPI Number : 1750440624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID W LEE D.D.S.
Provider Business Mailing Address
First Line : 5431 S RAINBOW BLVD STE C3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1864
Country : US
Telephone Number : 702-647-6453
Fax Number : 702-873-7654
Provider Business Practice Location Address
First Line : 5431 S RAINBOW BLVD STE C3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1864
Country : US
Telephone Number : 702-647-6453
Fax Number : 702-873-7654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID W LEE D.D.S.” Practice Location

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