Individual
STEPHANIE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 328-9100
Mailing address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 328-9100
(973) 328-6817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 021721
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9058605
—
NJ
Enumeration date
04/16/2007
Last updated
03/01/2012
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