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Individual

STEPHANIE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21 LONGWOOD AVE, BROOKLINE, MA 02446
(617) 738-0806
Mailing address
173 SAINT BOTOLPH ST APT 4, BOSTON, MA 02115-5134
(917) 863-2222

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000396
MA

Other

Enumeration date
03/06/2023
Last updated
10/24/2024
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