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Organization

JOHN H LEE DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN H LEE DMD (OWNER)
(631) 724-7575
Entity
Organization

Contact information

Practice address
80 MAPLE AVENUE, SUITE 208, SMITHTOWN, NY 11787
(631) 724-7575
(631) 724-4790
Mailing address
80 MAPLE AVENUE, SUITE 208, SMITHTOWN, NY 11787
(631) 724-7575
(631) 724-4790

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050381
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02602528
NY
Enumeration date
07/07/2008
Last updated
07/07/2008
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