Individual
DR. DAVID GLEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1675 N FREEDOM BLVD STE 8A, PROVO, UT 84604-2501
(801) 356-7329
(801) 377-3621
Mailing address
1675 N FREEDOM BLVD STE 8A, PROVO, UT 84604-2501
(801) 356-7329
(801) 377-3621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
144342
UT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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