David Glen Lee, DDS Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1215158498
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 144342 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-05-02
- Last updated
- 2007-07-08
Practice location
1675 N Freedom Blvd Ste 8a
Provo, UT 84604-2501
(801) 356-7329