Individual
RICHARD JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
44220 AIRPORT VIEW DR, HOLLYWOOD, MD 20636-3159
(240) 316-4004
(703) 858-0304
Mailing address
19465 DEERFIELD AVE STE 304, LANSDOWNE, VA 20176-1705
(703) 220-4667
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401412280
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13198
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN 1000396
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN 16768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025944600
—
VA
05
—
025944601
—
MD
Enumeration date
07/07/2008
Last updated
01/05/2024
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