Individual
JANET JEONGHWA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC , DDS
Contact information
Practice address
260 E 188TH STREET , ST. BARNABAS HOSPITAL, 1ST FLOOR , DIVISION OF ORTHODONTICS, BRONX, NY 10458
(718) 618-8935
Mailing address
3075 RIDGEWAY DRIVE, UNIT 18, MISSISSAUGA, ONTARIO L5L 5-M6
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060305
NY
Other
Enumeration date
04/18/2019
Last updated
11/08/2019
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