Individual
DR. ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1954 RIVER ROAD WEST, STATE FARM, VA 23160
(804) 784-3551
Mailing address
13146 FAWNBOROUGH RD, MONTPELIER, VA 23192-3058
(804) 784-3551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008772
VA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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