Individual
JACQUELINE PAIGE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
109 CLEARVIEW RD, MADISON HEIGHTS, VA 24572-2600
(434) 929-1400
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-2536
(434) 929-1400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24308
FL
1223G0001X
General Practice Dentistry
Primary
0401418472
VA
1223G0001X
General Practice Dentistry
DN24308
FL
Other
Enumeration date
07/11/2019
Last updated
05/21/2025
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