Individual
SAMUEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2191 DEFENSE HWY STE 210, CROFTON, MD 21114-2942
(410) 721-2610
Mailing address
2191 DEFENSE HWY STE 210, CROFTON, MD 21114-2942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17853
MD
Other
Enumeration date
05/03/2022
Last updated
01/16/2024
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