Individual
EUN JEON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
22120 69TH AVE FL 2, OAKLAND GARDENS, NY 11364-2613
(646) 584-4757
Mailing address
22120 69TH AVE FL 2, OAKLAND GARDENS, NY 11364-2613
(646) 584-4757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054685
NY
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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