NPI 1003259631

Jim Ming-An Lee, MPHDDSMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Frederick, MD

Practice location

Address: 7360 Guilford Dr STE #102, Frederick, MD 21704-5124
Phone: (301) 668-2662
Mailing address: 20002 Farmingdale CT, Hagerstown, MD 21742-4055

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 15259 (MD)

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Registry record

NPI: 1003259631
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2013
Record last updated: 13 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.