Individual
HEEYEON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11 E BROADWAY FL 13, NEW YORK, NY 10038-1013
(212) 227-3088
Mailing address
11 EAST BROADWAY, NEW YORK, NY 10038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50057484
NY
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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