# SI-HYEON LEE, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235605403
- **Authorized official:** DR. SI-HYEON LEE DMD (PRESIDENT)
- **Authorized official phone:** (703) 939-7234

## Contact information

- **Practice address:** 381 GATEWAY DR STE 9, WINCHESTER, VA 22603-5852
- **Practice address phone:** (540) 773-3206
- **Practice address fax:** (540) 773-3216
- **Mailing address:** 21131 POTOMAC TRAIL CIR, ASHBURN, VA 20148-4371
- **Mailing address phone:** (703) 939-7234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018