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Individual

JUNG JUN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
393 DUNLAP ST N STE 308, SAINT PAUL, MN 55104-4223
(651) 493-1345
Mailing address
1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15185
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/09/2023
Last updated
09/08/2024
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