Individual
KWANSOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20709 MOUNTAIN HWY E STE 101, SPANAWAY, WA 98387-8580
(206) 948-0879
Mailing address
20709 MOUNTAIN HWY E STE 101, SPANAWAY, WA 98387-8580
(206) 948-0879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60293904
WA
Other
Enumeration date
07/31/2012
Last updated
11/11/2020
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