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1356012702
JOHN LEE SMITH
CHANTILLY, VA
NPI
1356012702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401417676)
Enumeration Date
2021-09-24
Last Update Date
2024-06-24
Business Address
JOHN LEE SMITH
13916 METROTECH DR
CHANTILLY, VA 20151-3238
Phone number: 703-488-9922
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Mailing Address
JOHN LEE SMITH
20 WILLIAMS BLVD APT 1A
LAKE GROVE, NY 11755-2419
Phone number: 703-946-5299
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