Individual
DR. ENA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3230 UNIVERSITY AVE, STE 11, MADISON, WI 53705-3540
(608) 231-1718
Mailing address
2715 MARSHALL CT, 203, MADISON, WI 53705-2255
(651) 216-7073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6294-015
WI
122300000X
Dentist
D12521
MN
Other
Enumeration date
06/17/2008
Last updated
08/06/2013
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