Individual
DR. SUJEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8092 EDWIN RAYNOR BLVD, PASADENA, MD 21122-6833
(718) 579-6095
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18411
MD
Other
Enumeration date
05/30/2021
Last updated
04/08/2025
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