Individual
DR. REBECCA ORTENZIO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
4600 JOHN MARR DR STE 401, ANNANDALE, VA 22003-3310
(703) 750-9393
Mailing address
4600 JOHN MARR DR STE 401, ANNANDALE, VA 22003-3310
(703) 750-9393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018139
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414723
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
25790
FL
Other
Enumeration date
01/25/2006
Last updated
09/30/2022
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