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Individual
DR. JESSICA S LEE
Active
Individual
DR. JESSICA S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
060912
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
06832
NJ
Other
Enumeration date
04/30/2013
Last updated
08/07/2020
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