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Individual

DR. ANGIE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
1220 OAK PARK DR, SUITE 110, FORT COLLINS, CO 80525
(970) 999-5126
(970) 999-5928
Mailing address
1220 OAK PARK DR, SUITE 110, FORT COLLINS, CO 80525
(970) 999-5126
(970) 999-5928

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901020133
MI
1223G0001X
General Practice Dentistry
8277
NC
1223P0300X
Periodontics
Primary
DEN00201944
CO
1223P0300X
Periodontics
DN1855725
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5905031
NC
Enumeration date
01/19/2007
Last updated
03/04/2015
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