Organization
NATIONAL LIGHT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONG LEE DMD (PRESIDENT)
(202) 775-1414
Entity
Organization
Contact information
Practice address
1145 19TH ST NW STE 714, WASHINGTON, DC 20036-3713
(202) 775-1414
(202) 775-2459
Mailing address
1145 19TH ST NW STE 714, WASHINGTON, DC 20036-3713
(202) 775-1414
(202) 775-2459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1000768
DC
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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