Most Relevant Information
Provider Data
| NPI Number: | 1003038928 |
| Provider Name: | FRED MATTHEW LEE D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401008317 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 05/05/2019 |
Provider Practice Location
650 W BALTIMORE ST STE 6402
BALTIMORE
MD
212011510
Practice Location Phone/Fax
| Phone: | 4107067461 |
| Fax: |
Provider Mailing Location
6709 MICHAELS DR
BETHESDA
MD
208172219
Provider Mailing Phone/Fax
| Phone: | 3013657005 |
| Fax: |