Individual
EDSON JIUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 N MAIN ST, CANANDAIGUA, NY 14424-1222
(585) 394-4664
Mailing address
330 N MAIN ST, CANANDAIGUA, NY 14424-1222
(585) 394-4664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062380-01
NY
Other
Enumeration date
02/22/2019
Last updated
02/16/2023
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