| NPI | 1801962618 |
|---|---|
| Former Legal Business Name | TED LEE DMD |
| Entity Type | Organization |
| Authorized Contact | TED LEE Practice Manager 781-397-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 16528) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: MA 18893) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-01-21 |