Individual
DR. SEONG WOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 208-9124
Mailing address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 208-9124
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D13845
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D13845
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
09/22/2020
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