# SOLOMON M LEE DDS PC

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

## Provider details

- **NPI number:** 1487731105
- **Authorized official:** DR. SOLOMAN M LEE (PRESIDENT PRINCIPAL)
- **Authorized official phone:** (804) 520-5009

## Contact information

- **Practice address:** 3505 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1319
- **Practice address phone:** (804) 520-5009
- **Practice address fax:** (804) 520-0901
- **Mailing address:** 3505 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1319
- **Mailing address phone:** (804) 520-5009
- **Mailing address fax:** (804) 520-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410072 | VA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009435 | — | VA |