Individual
SANGHEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1778
Mailing address
3200 S UNIVERSITY DR APT 710, DAVIE, FL 33328-2018
(954) 262-1772
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
004067
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DTP762
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
RES004067
OH
Other
Enumeration date
11/01/2019
Last updated
06/28/2022
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