Individual
JOANETTE Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14722 BALTIMORE AVE UNIT 103, LAUREL, MD 20707-4873
(240) 607-8515
Mailing address
14722 BALTIMORE AVE UNIT 103, LAUREL, MD 20707-4873
(240) 607-8515
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6526
MD
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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