Organization
JIM LEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM MING-AN LEE DDS (OWNER)
(202) 423-8867
Entity
Organization
Contact information
Practice address
690 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3146
(202) 423-8867
Mailing address
690 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3146
(202) 423-8867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15259
MD
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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