Individual
CHAESUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
3838 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4416
(253) 212-3430
Mailing address
1959 NE PACIFIC STREET BOX 357134, UW DEPARTMENT OF ORAL SURGERY, SEATTLE, WA 98195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61426269
WA
122300000X
Dentist
Primary
DN30054
FL
122300000X
Dentist
DR61286418
WA
Other
Enumeration date
03/04/2022
Last updated
05/12/2025
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