Individual
CHANG HUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 378-7888
Mailing address
2301 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 378-7888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416548
VA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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