Individual
DR. YEONJU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7313 ELDORADO ST, MC LEAN, VA 22102-2904
(703) 854-1701
Mailing address
7313 ELDORADO ST, MC LEAN, VA 22102-2904
(703) 854-1701
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401412880
VA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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