Individual
JONATHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 MILLETT DR, AUBURN, ME 04210-4099
(207) 784-1577
Mailing address
33 DOWNEAST LANE, SCARBOROUGH, ME 04074
(207) 316-3406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4960
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2022
Last updated
08/01/2022
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