| Ignatius K. Lee Dds Pa | |
|
14400 W Burnsville Pkwy Suite 2 Burnsville MN 55306-4983 | |
| (952) 736-1080 | |
| (952) 736-1091 |
| Full Name | Ignatius K. Lee Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14400 W Burnsville Pkwy, Burnsville, Minnesota |
| Authorized Official Name and Position | Ignatius K Lee (OWNER/PRESIDENT) |
| Authorized Official Contact | 9527361080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignatius K. Lee Dds Pa 14400 W Burnsville Pkwy Suite 2 Burnsville MN 55306-4983 Ph: (952) 736-1080 | Ignatius K. Lee Dds Pa 14400 W Burnsville Pkwy Suite 2 Burnsville MN 55306-4983 Ph: (952) 736-1080 |
| NPI Number | 1386397065 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386397065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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