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Individual

ANDY W. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2900 S PEORIA ST STE A, AURORA, CO 80014-3182
(303) 368-3636
(303) 368-3631
Mailing address
2900 S PEORIA ST STE A, AURORA, CO 80014-3182
(303) 368-3636
(303) 368-3631

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9408
CO
1223G0001X
General Practice Dentistry
9408
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03257827
CO
05
86185756
CO
Enumeration date
11/16/2006
Last updated
06/17/2008
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