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 |