Individual
EUN CHEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
2330 GAUSE BLVD E STE E, SLIDELL, LA 70461-4141
(985) 641-1115
Mailing address
1916 POMONA ST, METAIRIE, LA 70005-2048
(504) 202-6934
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
32729
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3890-16
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6446
LA
Other
Enumeration date
07/26/2016
Last updated
08/20/2020
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