Individual
DAVID ANSEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 771-1688
Mailing address
6226 14TH AVE, KENOSHA, WI 53143-4413
(562) 410-7580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001759-15
WI
Other
Enumeration date
02/08/2024
Last updated
05/23/2025
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