Individual
JUSTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
418 SUMMIT AVE, JERSEY CITY, NJ 07306-3101
(201) 499-1972
Mailing address
58 BROOKSIDE AVE, LIVINGSTON, NJ 07039-4030
(862) 220-8485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02896400
NJ
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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