Individual
ANTHONY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
965 STATE ROAD 16 STE 106, ST AUGUSTINE, FL 32084-1865
(904) 808-8779
Mailing address
965 STATE ROAD 16 STE 106, ST AUGUSTINE, FL 32084-1865
(904) 808-8779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17691
FL
Other
Enumeration date
09/07/2006
Last updated
01/04/2023
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