Organization
DENTAL EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNGWOO LEE DDS (PRESIDENT)
(317) 682-8247
Entity
Organization
Contact information
Practice address
1010 E UNIVERSITY DR, BUILDING 2, MESA, AZ 85203-8055
(317) 682-8247
Mailing address
1010 E UNIVERSITY DR, BUILDING 2, MESA, AZ 85203-8055
(317) 682-8247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010693A
AZ
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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