Provider Demographics
NPI:1790945822
Name:LEE, MENG-CHIEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MENG-CHIEH
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 128Q
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-232-9003
Mailing Address - Fax:978-232-9034
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 128Q
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-232-9003
Practice Address - Fax:978-232-9034
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA217141223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics