Individual
LEE E RODEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 SMITH TOWNSHIP STATE RD, BURGETTSTOWN, PA 15021-2828
(724) 947-2255
Mailing address
1227 SMITH TOWNSHIP STATE RD, BURGETTSTOWN, PA 15021-2828
(304) 293-2841
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043597
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
07/28/2022
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