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Organization
JIN KUK LEE DDS INC
Active
Organization
JIN KUK LEE DDS INC
Active
Other names
Vivid Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JIN KUK LEE (DENTIST)
(310) 968-6125
Entity
Organization
Contact information
Practice address
2440 N JOSEY LN STE 103, CARROLLTON, TX 75006-1697
(972) 427-2875
(214) 764-0165
Mailing address
11445 EMERALD ST STE 112, DALLAS, TX 75229-7315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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