Organization
NORTHEAST PEDIATRIC DENTAL LLC
Active
Other names
Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WIN CHIN LEE DMD (PEDIATRIC DENTIST)
(267) 809-7788
Entity
Organization
Contact information
Practice address
7122 RISING SUN AVE, PHILADELPHIA, PA 19111-3957
(267) 809-7788
Mailing address
45 VILLAGE SQ, PAOLI, PA 19301-2108
(267) 809-7788
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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