Individual
DR. MATTHEW T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-3964
Mailing address
3115 KLINE ST, COLUMBIA, SC 29205-1308
(843) 687-6820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7004
SC
Other
Enumeration date
02/21/2011
Last updated
05/26/2011
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