Individual
DR. DARA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
345 E 24TH ST, 5W, NEW YORK, NY 10010-4020
(212) 995-4576
Mailing address
345 E 24TH ST, 5W, NEW YORK, NY 10010-4020
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
056614
NY
Other
Enumeration date
06/21/2013
Last updated
03/28/2014
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