Individual
ANABELLE MOEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
164 W 96TH ST, NEW YORK, NY 10025-6402
(212) 998-9800
Mailing address
561 10TH AVE APT 45A, NEW YORK, NY 10036-3060
(909) 331-8046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060783
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
12/11/2019
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