Individual
JENNIFER KHANH-VY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
420 S PICKETT ST, ALEXANDRIA, VA 22304-4706
(202) 743-5303
Mailing address
1298 DIFFICULT RUN CT, VIENNA, VA 22182-1400
(703) 505-0340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417620
VA
Other
Enumeration date
04/12/2021
Last updated
02/11/2023
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