Individual
DIANNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 KIEL AVE, KINNELON, NJ 07405-2549
(973) 838-7888
Mailing address
2404 VINCENT WAY, EAST NORRITON, PA 19401-2058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042676
PA
1223P0221X
Pediatric Dentistry
Primary
22DI02828300
NJ
1223P0221X
Pediatric Dentistry
DS042676
PA
Other
Enumeration date
07/03/2020
Last updated
12/19/2023
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