Individual
DR. ELIZABETH GRACE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 A MAIN ST, NEW YORK, NY 10044-0225
(212) 752-8722
Mailing address
501 A MAIN ST, NEW YORK, NY 10044-0225
(212) 752-8722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054464
NY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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