Organization
JEONGLEE DMDPC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEONG SOOK LEE (DENTIST)
(781) 322-4914
Entity
Organization
Contact information
Practice address
452 PLEASANT ST, #110, MALDEN, MA 02148-8117
(781) 322-4914
Mailing address
452 PLEASANT ST, #110, MALDEN, MA 02148-8117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855209
MA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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