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Individual

JOOSANG LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5570 SILVER HILL RD, DISTRICT HEIGHTS, MD 20747-1104
(301) 202-2222
Mailing address
7306 BLADE DR, FALLS CHURCH, VA 22042-3234
(808) 748-9608

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401418159
VA
122300000X
Dentist
Primary
17713
MD

Other

Enumeration date
04/26/2016
Last updated
10/30/2023
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