| NPI | 1386968147 |
|---|---|
| Former Name | JULIE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OH 30.024943) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 054729) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: PA DS039263) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2017-02-01 |