Individual
SEUNG YONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6371
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6371
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401414095
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2013
Last updated
08/04/2023
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