Most Relevant Information
Provider Data
NPI Number: | 1003006529 |
Provider Name: | JOON SEUNG LEE D.D.S. |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 050790 |
Most Important Dates
Enumeration Date: | 07/31/2007 |
Last Updated: | 07/31/2007 |
Provider Practice Location
7523 FORT HAMILTON PKWY
BROOKLYN
NY
112282305
Practice Location Phone/Fax
Phone: | 7182384133 |
Fax: | 7182389843 |
Provider Mailing Location
100 OLD PALISADE RD APT 3201
FORT LEE
NJ
070247025
Provider Mailing Phone/Fax
Phone: | 9172042333 |
Fax: |