Individual
KYUNGSANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1303 SAN ANTONIO ST STE 500, AUSTIN, TX 78701
(512) 879-6600
Mailing address
6708 AVILA WAY, PFLUGERVILLE, TX 78660-6870
(210) 439-1129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35266
TX
Other
Enumeration date
07/08/2019
Last updated
09/01/2022
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