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Organization
VINGELIS AND LEE FAMILY DENTAL
Active
Organization
VINGELIS AND LEE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JEROME LEE DDS (VICE PRESIDENT)
(607) 754-1999
Entity
Organization
Contact information
Practice address
145 OAKDALE ROAD, SUITE A, JOHNSON CITY, NY 13790-1766
(607) 217-5853
(607) 237-0159
Mailing address
145 OAKDALE ROAD, SUITE A, JOHNSON CITY, NY 13790-1766
(607) 217-5853
(607) 237-0159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046853-1
NY
1223P0221X
Pediatric Dentistry
047633-1
NY
Other
Enumeration date
04/11/2007
Last updated
05/02/2011
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