MS. Edwina Faye Lee, DENTAL HYGIENIST

NPI #1083828453 in San Fidel, New Mexico

Provider Information

NPI Number: 1083828453
Entity Type: Individual
Name: MS. Edwina Faye Lee, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: EXIT 102 OFF I40
Address 2: 1/2 MI SOUTH
City: San Fidel
State: New Mexico
ZIP Code: 87049
Phone: (505) 552-5310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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