Individual
YO SEP LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
710 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3556
(414) 383-2426
(877) 335-3684
Mailing address
6831 N NEIL PL, GLENDALE, WI 53209-2824
(414) 732-6038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002357
WI
Other
Enumeration date
07/22/2020
Last updated
07/31/2020
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