| Lee Family I Llc | |
|
5500 Holmes Run Pkwy Ste C3 Alexandria VA 22304-2860 | |
| (703) 751-1500 | |
| Not Available |
| Full Name | Lee Family I Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5500 Holmes Run Pkwy, Alexandria, Virginia |
| Authorized Official Name and Position | Steven Lee (PRESIDENT) |
| Authorized Official Contact | 7037511500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Family I Llc 5500 Holmes Run Pkwy Ste C3 Alexandria VA 22304-2860 Ph: (703) 751-1500 | Lee Family I Llc 5500 Holmes Run Pkwy Ste C3 Alexandria VA 22304-2860 Ph: (703) 751-1500 |
| NPI Number | 1871040840 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871040840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401414757 (Virginia) | Primary |
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