Organization
YOUR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUN JE LEE DMD (PRESIDENT)
(763) 248-0680
Entity
Organization
Contact information
Practice address
9220 BASS LAKE RD STE 345, NEW HOPE, MN 55428-3095
(763) 248-0680
Mailing address
6075 NIAGARA LN N, PLYMOUTH, MN 55446-4540
(763) 248-0680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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