DR. Jack Ssu-Chieh Lee, D.M.D.

NPI #1205157435 in Medford, Massachusetts

Provider Information

NPI Number: 1205157435
Entity Type: Individual
Name: DR. Jack Ssu-Chieh Lee, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 100 RIVERS EDGE DR
Address 2: UNIT 421
City: Medford
State: Massachusetts
ZIP Code: 02155-5460
Phone: (617) 953-1824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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