Individual
FREDRIC O LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1543 INWOOD AVE, BRONX, NY 10452-2001
(718) 681-8700
Mailing address
107 VOSE AVE, APT 10, SOUTH ORANGE, NJ 07079-2011
(973) 761-0769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041217
NY
Other
Enumeration date
12/27/2006
Last updated
09/14/2011
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