Individual
ESTHER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 PAVILION PKWY, NEWPORT, KY 41071-2884
(859) 394-0020
Mailing address
8616 PINE RD, CINCINNATI, OH 45242-7940
(502) 657-9188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11085
TN
1223G0001X
General Practice Dentistry
Primary
10624
KY
Other
Enumeration date
06/26/2019
Last updated
08/30/2021
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