Individual
DAVID LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3845 S FLORIDA AVE, LAKELAND, FL 33813-1122
(863) 226-4424
Mailing address
444 W PIPKIN RD, LAKELAND, FL 33813-2612
(863) 226-4424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN25542
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN25542
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
08/11/2021
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