Individual
DR. THEODORE TAK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60477328
WA
Other
Enumeration date
06/14/2014
Last updated
08/18/2014
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