Search › Idaho › 1223S0112X
Brent Lee, D.D.S., M.S
NPI 1154495802 · on the registry since 2006
Practice
- Address
- 165 N 14th Ave
Pocatello, ID 83201 - Phone
- (208) 232-2807
- Fax
- (208) 232-8118
- Organisation at this address
- Facial & Oral Surgery Associates, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho