Individual
DASUM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
(917) 254-5038
Mailing address
685 1ST AVE APT 32C, NEW YORK, NY 10016-2363
(917) 254-5038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7712
NV
Other
Enumeration date
07/25/2022
Last updated
01/30/2023
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