Organization
DR. RAND LEE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAND ALLEN LEE D.D.S. (PRESIDENT)
(262) 694-6055
Entity
Organization
Contact information
Practice address
3103 75TH ST, KENOSHA, WI 53142-4443
(262) 694-6055
Mailing address
3103 75TH ST, KENOSHA, WI 53142-4443
(262) 694-6055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3260
WI
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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