Individual
DR. XIENG KHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1622 1ST AVE N, FORT DODGE, IA 50501-4214
(515) 576-2621
(515) 576-4812
Mailing address
1622 1ST AVE N, FORT DODGE, IA 50501-4214
(515) 576-2621
(515) 576-4812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08752
IA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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