Individual
JOYCE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3033 HAZELWOOD ST, MAPLEWOOD, MN 55109-1152
(651) 770-3014
Mailing address
151 S 90TH ST APT 106, LINCOLN, NE 68520-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
7750
NE
1223P0300X
Periodontics
Primary
D15043
MN
Other
Enumeration date
07/21/2021
Last updated
09/04/2024
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