Individual
DR. MICHAEL MINSU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8600
Mailing address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2022040748
MO
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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