Individual
DR. BYUNG JOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
10128
SC
1223P0700X
Prosthodontics
32072
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10125
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
32072
TX
Other
Enumeration date
09/01/2016
Last updated
08/11/2022
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