BRENT D LEE

POCATELLO, ID
NPI1154495802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ID  d1494)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- BRENT D LEE D.D.S., M.S.
165 N 14TH AVE
POCATELLO, ID 83201-4146
Phone number: 208-232-2807
Mailing Address
-- BRENT D LEE D.D.S., M.S.
PO BOX 6033 165 N 14TH AVE
POCATELLO, ID 83205-6033
Phone number: 208-232-2807
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