Individual
BRIAN I LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10850 71ST AVE STE 1G, FOREST HILLS, NY 11375-4524
(718) 268-3666
(718) 268-7785
Mailing address
10850 71ST AVE STE 1G, FOREST HILLS, NY 11375-4524
(718) 268-3666
(718) 268-7785
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057134
NY
Other
Enumeration date
11/09/2010
Last updated
11/17/2017
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