Individual
DR. NICOLE RANDALL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3890 OLD WILLIAMSBURG RD, SANDSTON, VA 23150-4605
(804) 328-2200
Mailing address
3890 OLD WILLIAMSBURG RD, SANDSTON, VA 23150-4605
(804) 328-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416709
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
08/04/2023
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