Organization
CANTON MODERN DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID Y. LEE DDS (OWNER DOCTOR)
(781) 451-3150
Entity
Organization
Contact information
Practice address
95 WASHINGTON ST STE 222, CANTON, MA 02021-4009
(781) 451-3150
(781) 451-3240
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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