Provider Demographics
NPI:1932389574
Name:LEE, JENNIFER KWOK-WEI (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KWOK-WEI
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 - 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX LOOKOUT
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:P8T 1C2
Mailing Address - Country:CA
Mailing Address - Phone:807-737-3353
Mailing Address - Fax:807-737-3263
Practice Address - Street 1:241 OLD TECUMSEH RD.
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:ONTARIO
Practice Address - Zip Code:N8N 3S9
Practice Address - Country:CA
Practice Address - Phone:720-240-1028
Practice Address - Fax:519-979-9074
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO95391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice