Individual
CHLOE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041139
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2016
Last updated
02/07/2017
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