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Individual

DR. VANESSA J LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
5971 W US HIGHWAY 52, SUITE I, NEW PALESTINE, IN 46163-9486
(317) 861-5000
Mailing address
5971 W. US HIGHWAY 52, SUITE I, NEW PALESTINE, IN 46163
(317) 861-5000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009955
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200225010A
IN
Enumeration date
02/21/2007
Last updated
07/09/2007
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