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Organization
KIWON LEE, D.D.S., PC
Active
Organization
KIWON LEE, D.D.S., PC
Active
Other names
Bear Brook Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA DURAN (CREDENTIALING ASSISITANT)
(516) 229-1441
Entity
Organization
Contact information
Practice address
305 W GRAND AVE STE 100, MONTVALE, NJ 07645-1813
(201) 746-9474
Mailing address
305 W GRAND AVE STE 100, MONTVALE, NJ 07645-1813
(201) 746-9474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/21/2017
Last updated
03/08/2018
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