NPI | 1275652943 |
---|---|
Former Name | SEMI LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 56555) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS035958) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2010-10-05 |