Individual
DR. SHANNON KELLY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3896 N MLK BLVD, NORTH LAS VEGAS, NV 89032-6603
(702) 614-1792
(702) 933-0190
Mailing address
3896 N MLK BLVD, NORTH LAS VEGAS, NV 89032-6603
(702) 614-1792
(702) 933-0190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6446
NV
Other
Enumeration date
08/07/2013
Last updated
05/07/2015
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