Individual
DR. JASON D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
188 LONGWOOD AVE, AGE PROSTHODONTICS, BOSTON, MA 02115-5819
(347) 607-7904
Mailing address
188 LONGWOOD AVE, AGE PROSTHODONTICS, BOSTON, MA 02115-5819
(347) 607-7904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855433
MA
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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