Individual
KYUNG SOOK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1499 SE 1ST AVE, SUITE 101, CANBY, OR 97013-6772
(503) 263-1234
(503) 263-4075
Mailing address
1499 SE 1ST AVE STE 101, CANBY, OR 97013-6772
(503) 263-1234
(503) 263-4075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7251
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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