Organization
E DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JU-YOUNG LEE (DENTIST)
(602) 249-4465
Entity
Organization
Contact information
Practice address
5501 N 19TH AVE STE 206, PHOENIX, AZ 85015-2452
(602) 249-4465
Mailing address
5501 N 19TH AVE STE 206, PHOENIX, AZ 85015-2452
(602) 249-4465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D06195
AZ
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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