Individual
JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6315 PEARL RD STE 104, PARMA HEIGHTS, OH 44130-3082
(440) 842-2200
Mailing address
3015 S XAVIER CT, BLOOMINGTON, IN 47401-6883
(812) 929-1973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.028025
OH
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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