Individual
COLLEEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3636 MAYFIELD RD STE J-14, CLEVELAND, OH 44118-1403
(216) 220-0238
Mailing address
3636 MAYFIELD RD STE J-14, CLEVELAND, OH 44118-1403
(216) 220-0238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058518
NY
122300000X
Dentist
Primary
30.026298
OH
1223G0001X
General Practice Dentistry
DE60778730
WA
Other
Enumeration date
04/18/2015
Last updated
06/21/2021
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