Individual
STACEY LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10551 ALLEN RD, SUITE 107, ALLEN PARK, MI 48101-3305
(313) 388-1100
(313) 388-5633
Mailing address
10551 ALLEN RD, SUITE 107, ALLEN PARK, MI 48101-3305
(313) 388-1100
(313) 388-5633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016854
MI
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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