Individual
CHARLES LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7477 W LAKE MEAD BLVD, STE 106, LAS VEGAS, NV 89128
(702) 737-6080
(702) 804-5349
Mailing address
7477 W LAKE MEAD BLVD, STE 106, LAS VEGAS, NV 89128
(702) 737-6080
(702) 804-5349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08790
IA
1223G0001X
General Practice Dentistry
Primary
NV6813
NV
Other
Enumeration date
02/18/2011
Last updated
11/14/2016
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