Lee R Carrasco, MD DDS

NPI #1013946540 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1013946540
Entity Type: Individual
Name: Lee R Carrasco, MD DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: MD DDS
Enumeration Date: Jun 30, 2006
Last Updated: Apr 10, 2013

Practice Location

Address: 3400 SPRUCE STREET
Address 2: 5 WHITE BUILDING
City: Philadelphia
State: Pennsylvania
ZIP Code: 19104
Phone: (215) 662-3580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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