Individual
DR. MICHAEL J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 N 2ND AVE W # 57626, FAITH, SD 57626-6086
(605) 967-2644
Mailing address
112 N 2ND AVE W # 57626, FAITH, SD 57626-6086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1327
SD
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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