Individual
DR. ELISABETH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4159 BLUESTONE RD, CLEVELAND HEIGHTS, OH 44121-2463
(201) 850-9976
Mailing address
4159 BLUESTONE RD, CLEVELAND HEIGHTS, OH 44121-2463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023324
OH
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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