Individual
DR. LEE WARDLE HERMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 414-1300
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 414-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60013005
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092355
—
WA
Enumeration date
12/28/2006
Last updated
05/06/2025
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