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Individual

DR. JIM MING-AN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPH, DDS, MS

Contact information

Practice address
7360 GUILFORD DR, STE #102, FREDERICK, MD 21704-5124
(301) 668-2662
Mailing address
20002 FARMINGDALE CT, HAGERSTOWN, MD 21742-4055
(202) 423-8867

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15259
MD

Other

Enumeration date
04/13/2013
Last updated
04/13/2013
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