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Individual

RICHARD JOHN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
801 SANDUSKY ST, FOSTORIA, OH 44830-2747
(419) 495-1842
(419) 435-4670
Mailing address
801 SANDUSKY ST, FOSTORIA, OH 44830-2747
(419) 495-1842
(419) 435-4670

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.015365
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0408900
OH
Enumeration date
10/21/2006
Last updated
07/23/2007
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