Individual
DR. LISHA SHAKYA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3033 WASHINGTON ST, BOSTON, MA 02119-1227
(617) 756-2362
Mailing address
20 SUMMER ST APT 401, MALDEN, MA 02148-3910
(617) 756-2362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858858
MA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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