Individual
DR. DONGUK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040007
PA
122300000X
Dentist
DT-2950
HI
Other
Enumeration date
05/23/2019
Last updated
02/15/2024
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