Individual
JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ELM ST STE 101, WORCESTER, MA 01609-1967
(774) 366-2656
Mailing address
111 ELM ST STE 101, WORCESTER, MA 01609-1967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858191
MA
Other
Enumeration date
01/03/2019
Last updated
06/29/2022
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