# KWANSOO LEE, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spanaway Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700203114
- **Authorized official:** DR. KWANSOO LEE D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (253) 777-0550

## Contact information

- **Practice address:** 20709 MOUNTAIN HIGHWAY E, SUITE 101, SPANAWAY, WA 98387-8580
- **Practice address phone:** (253) 777-0550
- **Practice address fax:** (253) 617-0208
- **Mailing address:** 20709 MOUNTAIN HIGHWAY E, SUITE 101, SPANAWAY, WA 98387-8580
- **Mailing address phone:** (253) 777-0550
- **Mailing address fax:** (253) 617-0208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60293904 | WA | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 03/24/2014