Individual
HA EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9580
Mailing address
5485 15TH AVE NE UNIT E108, LACEY, WA 98516-3019
(903) 787-4847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61573683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2292496
—
WA
Enumeration date
07/10/2024
Last updated
08/13/2024
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