Individual
MICHELLE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1025 N TIOGA ST, ITHACA, NY 14850-3629
(607) 272-4331
Mailing address
29 CLEVELAND ST, CORTLAND, NY 13045-2330
(607) 283-1605
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019304
NY
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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