Individual
DR. TERESA SUYON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(201) 652-7766
Mailing address
3965 SEDGWICK AVE APT 4C, BRONX, NY 10463-3133
(917) 494-5481
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
009641
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
049646
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02322800
NJ
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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