Individual
DR. NAN-YI MICHAEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 S ELMORA AVE, ELIZABETH, NJ 07202-3100
(908) 436-0100
(908) 436-0295
Mailing address
68 HAZEL AVE, LIVINGSTON, NJ 07039-2137
(973) 994-1646
(973) 994-4887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22486
NJ
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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