Individual
DR. KENNETH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7574 TELEGRAPH RD, ALEXANDRIA, VA 22315-3829
(703) 971-2220
Mailing address
6289 FAIRFAX NATIONAL WAY, CENTREVILLE, VA 20120-1052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411627
VA
122300000X
Dentist
13922
MD
Other
Enumeration date
07/31/2007
Last updated
04/09/2021
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