Most Relevant Information
Provider Data
| NPI Number: | 1003259631 |
| Provider Name: | JIM MING-AN LEE MPH, DDS, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 15259 |
Most Important Dates
| Enumeration Date: | 04/13/2013 |
| Last Updated: | 04/13/2013 |
Provider Practice Location
7360 GUILFORD DR
STE #102
FREDERICK
MD
217045124
Practice Location Phone/Fax
| Phone: | 3016682662 |
| Fax: |
Provider Mailing Location
20002 FARMINGDALE CT
HAGERSTOWN
MD
217424055
Provider Mailing Phone/Fax
| Phone: | 2024238867 |
| Fax: |