Individual
JEAN H LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1048 UNION ST, BANGOR, ME 04401-3016
(207) 992-2152
(207) 992-2154
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6328
OK
Other
Enumeration date
08/31/2011
Last updated
09/28/2022
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