Individual
DR. JENNY MARIAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050640
NY
1223G0001X
General Practice Dentistry
6087
AZ
Other
Enumeration date
04/24/2007
Last updated
11/04/2009
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