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1063621043
LONG SN LEE
MILWAUKEE, WI
NPI
1063621043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 5510)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- LONG SN LEE D.D.S.
3953 N 76TH ST
MILWAUKEE, WI 53222-3059
Phone number: 414-463-0855
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Mailing Address
-- LONG SN LEE D.D.S.
3953 N 76TH ST
MILWAUKEE, WI 53222-3059
Phone number: 414-463-0855
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