Individual
DR. MIKE C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1731 W BASELINE RD, # 104, MESA, AZ 85202
(480) 755-1200
(480) 755-0155
Mailing address
1731 W BASELINE RD, # 104, MESA, AZ 85202
(480) 755-1200
(480) 755-0155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6057
AZ
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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