Individual
DR. DANIEL GRAHAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-2094
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-2094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8217
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8217
SC
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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