David Blong S Lee DDS Sc

NPI #1144432469 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1144432469
Entity Type: Organization
Organization Name: David Blong S Lee DDS Sc
Primary Specialty: Dentist
Enumeration Date: May 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 825 MICHIGAN AVE
City: Sheboygan
State: Wisconsin
ZIP Code: 53081
Phone: (920) 459-9010

Authorized Official

Name: MR. DAVID BLONG SHONANOU LEE, DDS
Title: PRESIDENT
Phone: (920) 459-9010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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