| NPI | 1568097236 |
|---|---|
| Doing Business As | LEE PLAZA DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | WING MANN LEE Manager And Sole Member 617-201-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |