Individual
DR. JESSE WASHINGTON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7021
Mailing address
2808 OCEAN MIST CT, VIRGINIA BEACH, VA 23454-1230
(757) 496-4070
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000018
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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