Individual
VANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5901 94TH AVE N STE 105, BROOKLYN PARK, MN 55443-2389
(763) 703-2512
Mailing address
1401 GIRARD AVE N, MINNEAPOLIS, MN 55411-3130
(651) 815-9072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14218
MN
Other
Enumeration date
05/28/2019
Last updated
06/04/2019
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