Lee, Misook Nicole

Lee, Misook Nicole is an individual health care provider with primary practice located at 7500 N Mesa Suite 304, El Paso TX 79912-3512. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Lee, Misook Nicole can be contacted via phone (915) 231-9983.

Contact Information

Primary practice address
7500 N Mesa Suite 304 El Paso TX 79912-3512
Phone: (915) 231-9983
Fax: (915) 231-9966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22657 Texas

Profile Details

NPI number 1740333442
LBN Legal business name Lee, Misook Nicole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740333442 NPPES
New Mexico MEDICAID 9185811
New Mexico MEDICAID 1740333442

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