Organization
FORSYTH COUNTY PUBLIC HEALTH CLEVELAND AVE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUN MIN LEE DDS (DENTIST)
(336) 703-3090
Entity
Organization
Contact information
Practice address
501 N CLEVELAND AVE, WINSTON SALEM, NC 27101-4366
(336) 703-3090
(336) 631-2340
Mailing address
501 N CLEVELAND AVE, WINSTON SALEM, NC 27101-4366
(336) 703-3090
(336) 631-2340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851771513
—
NC
Enumeration date
09/09/2016
Last updated
09/09/2016
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