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Lee Carrasco MD DDS NPI 1013946540

Classification
Oral & Maxillofacial Surgery
Type
License No.
DS031585L
License State
PA
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year
1999
Identifier
Type
State
Identifier: 0018942480001
Type: MEDICAID (05)
State: PA
Identifier: 056952
Type: MEDICARE PIN (08)
State: PA
Identifier: H58705
Type: MEDICARE UPIN (02)
State:

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
3400 SPRUCE STREET, PHILADELPHIA, PA, 19104
Business Phone
215-662-3580
Mailing Address
3400 SPRUCE STREET, PHILADELPHIA, PA, 19104
Mailing Phone
215-662-3580
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