Individual
DR. BRIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9661 MAIN ST, SUITE C, FAIRFAX, VA 22031-3757
(703) 425-3737
(703) 425-3762
Mailing address
9661 MAIN ST, SUITE C, FAIRFAX, VA 22031-3757
(703) 425-3737
(703) 425-3762
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401411230
VA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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