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Individual

DR. MI SOOK LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, PHD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0426
(352) 273-7643
(352) 273-6765
Mailing address
PO BOX 100426, 1395 CENTER DRIVE ROOM 11-6, GAINESVILLE, FL 32610-0426
(352) 273-7643
(352) 273-6765

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
102494
CA
1223P0221X
Pediatric Dentistry
102494
CA
1223P0221X
Pediatric Dentistry
7866
NE
1223P0221X
Pediatric Dentistry
Primary
DTP802
FL

Other

Enumeration date
08/20/2018
Last updated
01/19/2024
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