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Individual

BRENDA M LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
103 E FOUNTAIN ST, DODGEVILLE, WI 53533-1749
(608) 935-5550
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6237-16
WI
124Q00000X
Dental Hygienist
Primary
6237-16
WI

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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