Individual
DR. ELL LOUIS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2361 LOST DAUPHIN RD, DE PERE, WI 54115-9165
(920) 338-8373
Mailing address
2361 LOST DAUPHIN RD, DE PERE, WI 54115-9165
(920) 338-8373
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5000059-15
WI
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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