| Gina Lee, Dds, Mds, Pa Ii | |
|
4301 Ben Franklin Blvd Suite 201 Durham NC 27704-2145 | |
| (919) 797-2300 | |
| (919) 797-2301 |
| Full Name | Gina Lee, Dds, Mds, Pa Ii |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4301 Ben Franklin Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Rizanne Icasiano (OFFICE MANAGER) |
| Authorized Official Contact | 9195449700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Lee, Dds, Mds, Pa Ii 4301 Ben Franklin Blvd Suite 201 Durham NC 27704-2145 Ph: (919) 797-2300 | Gina Lee, Dds, Mds, Pa Ii 4301 Ben Franklin Blvd Suite 201 Durham NC 27704-2145 Ph: (919) 797-2300 |
| NPI Number | 1851797237 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851797237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8083 (North Carolina) | Primary |
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