NPI | 1356455372 |
---|---|
Professional Name | SUE S LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 18131) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA DN18131) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2019-09-24 |