Individual
DR. TED LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
572 PLEASANT STREET, 1F, MALDEN, MA 02148-3550
(781) 397-8876
(781) 324-7166
Mailing address
572 PLEASANT STREET, 1F, MALDEN, MA 02148-3550
(781) 397-8876
(781) 324-7166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16528
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269115
—
MA
Enumeration date
10/26/2006
Last updated
07/08/2007
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