Individual
DR. SHAWN D LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2811 12TH AVE RD, NAMPA, ID 83686-8482
(208) 466-2458
Mailing address
5398 N LANGE AVE, MERIDIAN, ID 83646-6228
(208) 371-5132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4303
ID
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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