Individual
DR. KEVIN B LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 WEST MAIN STREET, BEULAH, ND 58523
(701) 873-2259
Mailing address
200 WEST MAIN ST., BEULAH, ND 58523
(701) 873-2259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1680
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40840
—
ND
Enumeration date
05/23/2007
Last updated
07/08/2007
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