# JK ENDODONTICS

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

## Provider details

- **NPI number:** 1245747583
- **Authorized official:** KANG M LEE DMD (PRESIDENT)
- **Authorized official phone:** (610) 831-1901

## Contact information

- **Practice address:** 555 SECOND AVE STE G-108, COLLEGEVILLE, PA 19426-3600
- **Practice address phone:** (610) 831-1901
- **Mailing address:** 555 SECOND AVE STE G-108, COLLEGEVILLE, PA 19426-3600
- **Mailing address phone:** (610) 831-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 01/09/2018