| Matthew Lee Dds Nj Pc | |
| 
					225 Broad Ave Ste 102 Palisades Park NJ 07650-1589  | |
| (201) 658-0522 | |
| Not Available | 
| Full Name | Matthew Lee Dds Nj Pc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 225 Broad Ave Ste 102, Palisades Park, New Jersey | 
| Authorized Official Name and Position | Matthew Lee (OWNER) | 
| Authorized Official Contact | 9178605085 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Lee Dds Nj Pc 26 Ave At Port Imperial Apt 101 West New York NJ 07093-3198 Ph: (917) 860-5085  | Matthew Lee Dds Nj Pc 225 Broad Ave Ste 102 Palisades Park NJ 07650-1589 Ph: (201) 658-0522  | 
| NPI Number | 1760053482 | 
|---|---|
| Provider Enumeration Date | 07/03/2021 | 
| Last Update Date | 07/03/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760053482 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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