Organization
CRYSTAL DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS JOON LEE DMD (DENTIST)
(425) 282-4182
Entity
Organization
Contact information
Practice address
12644 164TH AVE SE, RENTON, WA 98059-6403
(425) 282-4182
(425) 572-6072
Mailing address
12644 164TH AVE SE, RENTON, WA 98059-6403
(425) 282-4182
(425) 572-6072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60389882
WA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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