Fleetwood Dental Professional Corporation
NPI #1104091388 in Fleetwood, Pennsylvania
Provider Information
- NPI Number
- 1104091388
- Entity Type
- Organization
- Organization Name
- Fleetwood Dental Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 28, 2008
- Last Updated
- Dec 2, 2019
Practice Location
- Address
- 805 N RICHMOND STREET
- Address 2
- SUITE 102
- City
- Fleetwood
- State
- Pennsylvania
- ZIP Code
- 19522
- Phone
- (610) 944-9771
Authorized Official
- Name
- MICHELLE M LEE, DMD
- Title
- OWNER
- Phone
- (610) 944-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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