Organization
JIM LEE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM MING AN LEE DDS (PRESIDENT)
(202) 423-8867
Entity
Organization
Contact information
Practice address
2616 SHERWOOD HALL LN, SUITE #301, ALEXANDRIA, VA 22306-3100
(202) 423-8867
Mailing address
7515 COLLINS MEADE WAY, ALEXANDRIA, VA 22315-5251
(202) 423-8867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414622
VA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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