Individual
DR. KIMBERLY NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
105 BROADMOOR DR, MADISON, MS 39110-6651
(601) 856-5227
Mailing address
111 SILVERLEAF DR, MADISON, MS 39110-1801
(601) 248-3757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4127-20
MS
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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