Individual
DR. MATTHEW JONGHYOCK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
306 BROAD AVE SUITE 2C, PALISADES PARK, NJ 07650
(201) 461-5171
Mailing address
306 BROAD AVE SUITE 2C, PALISADES PARK, NJ 07650
(201) 461-5171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
049148
NY
122300000X
Dentist
Primary
22DI02185900
NJ
Other
Enumeration date
01/02/2007
Last updated
07/16/2020
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