Individual
BOUNGHOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5220 N DYSART RD STE 108, LITCHFIELD PARK, AZ 85340-3046
(623) 547-0011
Mailing address
7439 E CONQUISTADORES DR, SCOTTSDALE, AZ 85255-5069
(734) 778-0904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021330
MI
122300000X
Dentist
30.024403
OH
122300000X
Dentist
Primary
AZ009869
AZ
Other
Enumeration date
07/08/2014
Last updated
02/15/2021
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