# K J LEE DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lee Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609497205
- **Authorized official:** MI LEE (OFFICE MANAGER)
- **Authorized official phone:** (240) 268-4238

## Contact information

- **Practice address:** 7522 LEE DAVIS RD, MECHANICSVILLE, VA 23111-3603
- **Practice address phone:** (804) 559-1016
- **Practice address fax:** (804) 559-1018
- **Mailing address:** 7522 LEE DAVIS RD, MECHANICSVILLE, VA 23111-3603
- **Mailing address phone:** (804) 559-1016
- **Mailing address fax:** (804) 559-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 05/18/2020