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Individual
SUN CHA LEE
Active
Individual
SUN CHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7725
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-902W1
—
NC
01
—
902W1
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
08/25/2006
Last updated
07/08/2007
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