Lee Pullen

NPI 1063613511 - Clinic/Center - 261QD0000X

NPI Details
NPI 1063613511
Enumeration Date 05/31/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEE LEE
Position DENTIST OWNER
Phone (662) 473-2296
Fax
Practice Location
117 WOOD ST
WATER VALLEY MS, 38965-2602, US
Phone (662) 473-2296
Fax
Business Location
117 WOOD ST
WATER VALLEY MS, 38965-2602, US
Phone (662) 473-2296
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Mississippi
License Number =========
Remove 1063613511 NPI Number
 

According to our database, Lee Pullen NPI is 1063613511, taxonomy code is 261QD0000X and license number is =========, license state is located at Mississippi. Lee Pullen physically located at 117 Wood St, Water Valley MS, 38965-2602. NPI Number 1033115704 has the healthcare provider type.

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1063613511 NPI number is provided on an as is basis without warranty of any kind. 1063613511 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Pullen are for informational purposes only.