Individual
DR. SU-MIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, SCHOOL OF DENTAL MEDICINE, DEP. OF ENDODONTICS, PHILADELPHIA, PA 19104-6030
(215) 898-4927
Mailing address
1229 CHESTNUT ST, APT 1214, PHILADELPHIA, PA 19107-4140
(267) 206-8698
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
64396
CA
1223E0200X
Endodontics
Primary
RFD000014
PA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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