Organization
BEYOND YOUR SMILE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE S LEE DMD MMSC (ORTHODONTIST)
(508) 875-1060
Entity
Organization
Contact information
Practice address
254 COCHITUATE ROAD, FRAMINGHAM, MA 01701
(508) 875-1060
(508) 875-0620
Mailing address
254 COCHITUATE ROAD, FRAMINGHAM, MA 01701
(508) 875-1060
(508) 875-0620
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X07438
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/11/2008
Last updated
06/11/2008
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