Organization
EDELWOOD PRACTICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIAN LEE DDS (OWNER/DENTIST)
(626) 242-6456
Entity
Organization
Contact information
Practice address
2100 OLD FARM DR, FREDERICK, MD 21702-9494
(626) 242-6456
Mailing address
2100 OLD FARM DR, FREDERICK, MD 21702-9494
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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