| Long Sn Lee, D.d.s.,s.c. | |
|
3953 N 76th St Milwaukee WI 53222-3059 | |
| (414) 463-0855 | |
| (414) 463-0856 |
| Full Name | Long Sn Lee, D.d.s.,s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3953 N 76th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Long Sn Lee (PRESIDENT) |
| Authorized Official Contact | 4144630855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Sn Lee, D.d.s.,s.c. 3953 N 76th St Milwaukee WI 53222-3059 Ph: (414) 463-0855 | Long Sn Lee, D.d.s.,s.c. 3953 N 76th St Milwaukee WI 53222-3059 Ph: (414) 463-0855 |
| NPI Number | 1811106818 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811106818 | NPI | - | NPPES |
| 33777800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5510 (Wisconsin) | Primary |
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