Organization
JK ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANG M LEE DMD (PRESIDENT)
(610) 831-1901
Entity
Organization
Contact information
Practice address
555 SECOND AVE STE G-108, COLLEGEVILLE, PA 19426-3600
(610) 831-1901
Mailing address
555 SECOND AVE STE G-108, COLLEGEVILLE, PA 19426-3600
(610) 831-1901
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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