Individual
MRS. MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
418 SUMMIT AVE, JERSEY CITY, NJ 07306-3101
(201) 499-1969
Mailing address
89 MONITOR ST APT 325, JERSEY CITY, NJ 07304-4389
(858) 230-0648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02981000
NJ
Other
Enumeration date
09/25/2023
Last updated
09/27/2023
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