Individual
DR. LEE B DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 W WASHINGTON SQ, APT 3907, PHILADELPHIA, PA 19106-3513
(215) 898-4615
Mailing address
200 W WASHINGTON SQ, APT 3907, PHILADELPHIA, PA 19106-3513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 023652L
PA
Other
Enumeration date
05/24/2007
Last updated
10/21/2011
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