Individual
SUSAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
455 W MAIN ST, MONROE, WA 98272-1813
(360) 794-7132
Mailing address
455 W MAIN ST, MONROE, WA 98272-1813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61085708
WA
Other
Enumeration date
07/28/2020
Last updated
05/06/2021
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