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1003031402
DAVID FORMOSAN LEE
NEW YORK, NY
NPI
1003031402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 50 053083)
Enumeration Date
2007-04-13
Last Update Date
2020-06-08
Business Address
DAVID FORMOSAN LEE DDS
30 E 40TH ST RM 305
NEW YORK, NY 10016-1247
Phone number: 212-370-1919
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Mailing Address
DAVID FORMOSAN LEE DDS
4436 TIMBERLAKE DRIVE
LOUISVILLE, TN 37777
Phone number: 865-970-2821
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