Individual
SEUNG HYUP LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2415
Mailing address
1451 COMO DR, MANTECA, CA 95337-8472
(408) 205-4574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7813
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
08/25/2023
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