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Herietta Lee
General Practice Dentistry in Frederick, Maryland
NPI 1750945788

Herietta Lee is a General Practice Dentistry based in Gaithersburg, MD and is specialized in General Practice. Herietta Lee practices in Frederick, MD. The NPI Number for Herietta Lee is 1750945788 and holds a License No. (Maryland).

The current practice location address for Herietta Lee is 196 Thomas Johnson Dr Ste 130, Frederick, MD and can be reached out via phone at 301-663-5552.

Location: 196 Thomas Johnson Dr Ste 130, Frederick, MD, 20878-8309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750945788
Provider Name
Herietta Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
196 Thomas Johnson Dr Ste 130, Frederick, MD, 20878-8309
Phone Number
301-663-5552
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
196 Thomas Johnson Dr Ste 130
City
Frederick
State
Maryland
Zip
21702-4519
Phone Number
301-663-5552
Fax Number
person
Provider Business Mailing Address Details
Address
196 Thomas Johnson Dr Ste 130
City
Frederick
State
Maryland
Zip
21702-4519
Phone Number
301-663-5552
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
16884 (Maryland)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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