Bryan D Lee, DDS, MD

NPI #1790905495 in Rexburg, Idaho

Provider Information

NPI Number
1790905495
Entity Type
Individual
Name
Bryan D Lee, DDS, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Oral & Maxillofacial Surgery
Credential
DDS, MD
Enumeration Date
Apr 26, 2007
Last Updated
May 29, 2015

Practice Location

Address
360 E. MAIN ST.
State
Idaho
ZIP Code
83440
Phone
(208) 356-5959

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Oral & Maxillofacial Surgery

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