Brent D Lee, D.D.S., M.S.

NPI #1154495802 in Pocatello, Idaho

Provider Information

NPI Number
1154495802
Entity Type
Individual
Name
Brent D Lee, D.D.S., M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S., M.S.
Enumeration Date
Nov 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
165 N 14TH AVE
State
Idaho
ZIP Code
83201-4146
Phone
(208) 232-2807

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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