Individual
JEANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 KISSENA BLVD APT 1D, FLUSHING, NY 11355-3221
(718) 353-5504
Mailing address
4211 KISSENA BLVD APT 1D, FLUSHING, NY 11355-3221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063232
NY
Other
Enumeration date
04/21/2022
Last updated
10/12/2023
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