Individual
DR. GRACE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
470 CLIFTON AVE, CLIFTON, NJ 07011-3262
(973) 546-6977
Mailing address
1104 SHADOWLAWN DR, GREEN BROOK, NJ 08812-1744
(201) 953-2878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02611800
NJ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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