Organization
FLEETWOOD DENTAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M LEE DMD (OWNER)
(610) 944-9771
Entity
Organization
Contact information
Practice address
805 N RICHMOND STREET, SUITE 102, FLEETWOOD, PA 19522
(610) 944-9771
(610) 944-0702
Mailing address
805 N RICHMOND STREET, SUITE 102, FLEETWOOD, PA 19522
(610) 944-9771
(610) 944-0702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036286
PA
Other
Enumeration date
04/28/2008
Last updated
12/02/2019
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