Individual
DR. SANG YOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
270 BELLEVILLE AVENUE, DENTAL OFFICE OF DR LEE SANG, BLOOMFIELD, NJ 07003
(973) 259-9600
(973) 259-9700
Mailing address
270 BELLEVILLE AVE, BLOOMFIELD, NJ 07003
(973) 259-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02174800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027651
—
NJ
Enumeration date
01/10/2007
Last updated
07/09/2007
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