# M & A PROFESSIONAL SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114789419
- **Authorized official:** DR. NAN-YI LEE DDS (GENERAL DENTIST)
- **Authorized official phone:** (908) 436-0100

## Contact information

- **Practice address:** 1000 S ELMORA AVE STE 1E, ELIZABETH, NJ 07202-3100
- **Practice address phone:** (908) 436-1000
- **Practice address fax:** (908) 436-0295
- **Mailing address:** 1000 S ELMORA AVE STE 1E, ELIZABETH, NJ 07202-3100
- **Mailing address phone:** (908) 436-1000
- **Mailing address fax:** (908) 436-0295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2024
- **Last updated:** 01/23/2024