DAVID BLONG SHOUANOU LEE

SHEBOYGAN, WI
NPI1285846592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  5157)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
Mr. DAVID BLONG SHOUANOU LEE DDS
825 MICHIGAN AVE
SHEBOYGAN, WI 53081
Phone number: 920-459-9010
Mailing Address
Mr. DAVID BLONG SHOUANOU LEE DDS
4925 STONEFIELD ROAD
SHEBOYGAN, WI 53083
Phone number: 920-459-9010