-- BRENT D LEE -- D.D.S., M.S.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1154495802- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S., M.S.
- Status
- Active
Contact & Location
- Address
- 165 N 14TH AVE, POCATELLO, ID, 832014146
- Phone
- (208) 232-2807
- Fax
- (208) 232-8118
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #d1494