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Organization
LK ADVANCED DENTISTRY
Active
Organization
LK ADVANCED DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONGJIN LEE D.M.D. (MEMBER)
(212) 600-5221
Entity
Organization
Contact information
Practice address
330 W 58TH ST, SUITE 309, NEW YORK, NY 10019-1827
(212) 600-5221
(917) 210-3909
Mailing address
330 W 58TH ST, SUITE 309, NEW YORK, NY 10019-1827
(212) 600-5221
(917) 210-3909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054569
NY
1223G0001X
General Practice Dentistry
055205
NY
Other
Enumeration date
10/11/2012
Last updated
03/12/2013
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