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Individual

SE RA LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151
Mailing address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859817
MA

Other

Enumeration date
05/30/2023
Last updated
06/23/2023
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