Individual
WON J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4755 PASTURE RD, FALLON, NV 89406-2111
(559) 998-4262
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13031322-9922
UT
1223G0001X
General Practice Dentistry
Primary
13031322-9922
UT
Other
Enumeration date
09/19/2022
Last updated
06/26/2023
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