Individual
DR. MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12400 E 40 HWY, INDEPENDENCE, MO 64055-5929
(816) 897-5850
Mailing address
12400 E 40 HWY, INDEPENDENCE, MO 64055-5929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021502
MI
Other
Enumeration date
05/29/2015
Last updated
09/14/2020
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