| Richard Lee DMD PC | |
|
19465 Deerfield Ave Ste 304 Lansdowne VA 20176-1705 | |
| (703) 858-0303 | |
| Not Available |
| Full Name | Richard Lee DMD PC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 19465 Deerfield Ave Ste 304, Lansdowne, Virginia |
| Authorized Official Name and Position | Richard John Lee (PRESIDENT) |
| Authorized Official Contact | 7038580303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Lee DMD PC 19465 Deerfield Ave Ste 304 Lansdowne VA 20176-1705 Ph: (703) 858-0303 | Richard Lee DMD PC 19465 Deerfield Ave Ste 304 Lansdowne VA 20176-1705 Ph: (703) 858-0303 |
| NPI Number | 1518270180 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518270180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401412280 (Virginia) | Primary |
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