Individual
KELLY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12080 N DOVE MOUNTAIN BLVD STE 140, MARANA, AZ 85658-4553
(520) 367-2742
Mailing address
12080 N DOVE MOUNTAIN BLVD STE 140, MARANA, AZ 85658-4553
(520) 367-2742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010082
AZ
Other
Enumeration date
07/11/2018
Last updated
08/24/2022
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