Individual
HANNAH H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4812 TREASURE CT, FAIRFAX, VA 22032-2374
(716) 957-2848
Mailing address
4812 TREASURE CT, FAIRFAX, VA 22032-2374
(716) 957-2848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412543
VA
122300000X
Dentist
DEN100023
DC
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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