Individual
CLAUDIA V AMEZQUITA-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
(920) 731-7445
Mailing address
10751 WILSHIRE BLVD APT 1003, LOS ANGELES, CA 90024-4434
(917) 244-5600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1002695-15
WI
Other
Enumeration date
03/20/2019
Last updated
09/14/2021
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