Organization
ANGIE LEE, DMD, MS, PLLC
Active
Other names
Angie Lee Periodontics & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE LEE DMD, MS (MANAGER)
(970) 999-4321
Entity
Organization
Contact information
Practice address
1220 OAK PARK DR STE 2, FORT COLLINS, CO 80525-7302
(970) 999-4321
Mailing address
2445 WINDROW DR UNIT A206, FORT COLLINS, CO 80525-6782
(970) 999-4321
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
201944
CO
Other
Enumeration date
01/22/2014
Last updated
02/07/2014
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