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Individual

SUSAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
56 PETERBOROUGH ST, JAFFREY, NH 03452-5860
(603) 532-8621
Mailing address
106 GROVE ST APT 2B, PETERBOROUGH, NH 03458-1760
(917) 244-3551

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS040715
PA
1223P0221X
Pediatric Dentistry
Primary
04769
NH

Other

Enumeration date
03/03/2015
Last updated
09/23/2022
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