| Jim Lee, LLC | |
|
690 Prince Frederick Blvd Prince Frederick MD 20678-3146 | |
| (202) 423-8867 | |
| Not Available |
| Full Name | Jim Lee, LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 690 Prince Frederick Blvd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Jim Ming-an Lee (OWNER) |
| Authorized Official Contact | 2024238867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Lee, LLC 690 Prince Frederick Blvd Prince Frederick MD 20678-3146 Ph: (202) 423-8867 | Jim Lee, LLC 690 Prince Frederick Blvd Prince Frederick MD 20678-3146 Ph: (202) 423-8867 |
| NPI Number | 1528429321 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528429321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15259 (Maryland) | Primary |
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