Individual
CHARLES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
76 OTIS ST, WESTBOROUGH, MA 01581
(508) 870-1911
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858317
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2019
Last updated
11/02/2019
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