| NPI | 1457568339 |
|---|---|
| Other Name | JOE LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010008) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D8481) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-08-21 |