Individual
DR. MARY GRAY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D, M.S.D
Contact information
Practice address
6080 FALLS ROAD, SUITE 202, BALTIMORE, MD 21209
(410) 372-0202
Mailing address
1504 DULANEY VALLEY ROAD, LUTHERVILLE TIMONIUM, MD 21093
(859) 333-2304
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15078
MD
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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