Individual
DR. GRACE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
304 PROVIDENCE BLVD, CLARKSVILLE, TN 37042
(931) 648-4100
Mailing address
304 PROVIDENCE BLVD, CLARKSVILLE, TN 37042-4326
(931) 648-4100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8645
TN
Other
Enumeration date
06/25/2007
Last updated
08/03/2018
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