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Individual

DR. JONG S LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14416 JEFFERSON DAVIS HWY, SUITE 16, WOODBRIDGE, VA 22191-2801
(703) 492-1999
(703) 492-6379
Mailing address
14416 JEFFERSON DAVIS HWY, SUITE 16, WOODBRIDGE, VA 22191-2801
(703) 492-1999
(703) 492-6379

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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