Individual
NICHOLAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
186 E BROAD ST, PATASKALA, OH 43062-8527
(740) 716-7971
Mailing address
1320 NORTON AVE APT 14, COLUMBUS, OH 43212-3178
(330) 641-2988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027122
OH
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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