Individual
DR. JOON SEUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7523 FORT HAMILTON PKWY, BROOKLYN, NY 11228-2305
(718) 238-4133
(718) 238-9843
Mailing address
100 OLD PALISADE RD APT 3201, FORT LEE, NJ 07024-7025
(917) 204-2333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02722636
—
NY
Enumeration date
07/31/2007
Last updated
07/31/2007
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