Individual
MRS. KOURTNEY ADELE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
MIDSHORE PEDIATRIC DENTISTRY, 508-B CYNWOOD DR, EASTON, MD 21601
(410) 819-0726
(410) 810-3239
Mailing address
MIDSHORE PEDIATRIC DENTISTRY, 508-B CYNWOOD DR, EASTON, MD 21601
(410) 819-0726
(410) 810-3239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9756
TN
1223P0221X
Pediatric Dentistry
Primary
17840
MD
1223P0221X
Pediatric Dentistry
9756
TN
Other
Enumeration date
09/10/2013
Last updated
03/06/2024
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