Most Relevant Information
Provider Data
NPI Number: | 1003550088 |
Provider Name: | SEON YEONG LEE DMD |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 0401418160 |
Most Important Dates
Enumeration Date: | 04/25/2022 |
Last Updated: | 10/14/2022 |
Provider Practice Location
1531 MARYLAND AVE NE
WASHINGTON
DC
200027604
Practice Location Phone/Fax
Phone: | 2026021672 |
Fax: |
Provider Mailing Location
11433 LOG RIDGE DR
FAIRFAX
VA
220308528
Provider Mailing Phone/Fax
Phone: | 2052761725 |
Fax: |