Organization
DAVID H. LEE DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H LEE D.M.D (OWNER/DENTIST)
(662) 335-1413
Entity
Organization
Contact information
Practice address
1565 S MAIN ST, GREENVILLE, MS 38701-7005
(662) 335-1413
Mailing address
1565 S MAIN ST, GREENVILLE, MS 38701-7005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660459
—
MS
05
—
01304745
—
MS
Enumeration date
09/14/2016
Last updated
09/15/2016
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