Individual
ROGER S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3440 CONWAY BLVD, SUITE 2D, PORT CHARLOTTE, FL 33952-7000
(941) 743-4425
(941) 743-2005
Mailing address
3440 CONWAY BLVD, SUITE 2D, PORT CHARLOTTE, FL 33952-7000
(941) 743-4425
(941) 743-2005
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN11112
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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