Individual
HUNTER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8266 JUPITER DR, MECHANICSVILLE, VA 23116-2812
(804) 746-7720
Mailing address
8266 JUPITER DR, MECHANICSVILLE, VA 23116-2812
(804) 746-7720
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013285A
VA
Other
Enumeration date
11/26/2019
Last updated
06/07/2022
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