Individual
DR. GLORIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1002413-15
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1002413-15
WI
Other
Enumeration date
06/09/2011
Last updated
03/16/2025
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