Individual
DR. NATHAN CHULWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3611 CHAIN BRIDGE RD STE B, FAIRFAX, VA 22030-3246
(703) 273-8450
(703) 273-8354
Mailing address
3611 CHAIN BRIDGE RD STE B, FAIRFAX, VA 22030-3246
(703) 273-8450
(703) 649-6357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7150
VA
1223G0001X
General Practice Dentistry
Primary
7150
VA
Other
Enumeration date
06/24/2008
Last updated
08/23/2019
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