Individual
DR. KYU JIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7126 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3628
(804) 559-1016
(804) 559-1018
Mailing address
200 BRIDGE LN, YORKTOWN, VA 23692-4785
(804) 559-1016
(804) 559-1018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411102
VA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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