Individual
KAREN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(803) 629-3961
Mailing address
5321 TIN ROOF WAY STE 102, RALEIGH, NC 27616-6736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13473
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2023
Last updated
10/03/2023
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