Individual
DR. JENNIFER S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
(212) 531-4063
Mailing address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
(212) 531-4063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050805
NY
Other
Enumeration date
04/05/2007
Last updated
12/05/2012
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