NPI 1003031402

David Formosan Lee, DDS

Practitioner General Practice Dentistry New York, NY

Practice location

Address: 30 E 40th St Rm 305, New York, NY 10016-1247
Phone: (212) 370-1919
Mailing address: 4436 Timberlake Drive, Louisville, TN 37777

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 50 053083 (NY)

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Registry record

NPI: 1003031402
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2007
Record last updated: 8 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.