Individual
SEUNG-JUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2651 TEXAS DR, IRVING, TX 75062-7016
(972) 255-4164
(972) 252-1580
Mailing address
2651 TEXAS DR, IRVING, TX 75062-7016
(972) 255-4164
(972) 252-1580
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29736
TX
1223P0300X
Periodontics
60903
CA
Other
Enumeration date
09/14/2012
Last updated
07/09/2014
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