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Organization

LEE FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSANA LEE (DENTIST)
(267) 979-0422
Entity
Organization

Contact information

Practice address
416 NE 87TH AVE, SUITE 3, VANCOUVER, WA 98664-1930
(360) 891-3020
Mailing address
416 NE 87TH AVE, SUITE 3, VANCOUVER, WA 98664-1930

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WA

Other

Enumeration date
02/19/2016
Last updated
02/19/2016
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