Individual
KYUNG HYUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 BRANDON AVE STE 214, SPRINGFIELD, VA 22150-2504
(703) 451-3303
Mailing address
6120 BRANDON AVE STE 214, SPRINGFIELD, VA 22150-2504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417722
VA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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