Individual
ROBERT CHULSUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4305 76TH ST NE, MARYSVILLE, WA 98270
(360) 653-4114
Mailing address
4305 76TH ST NE, MARYSVILLE, WA 98270-3749
(360) 653-4114
(360) 658-9597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
62802
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60660201
WA
Other
Enumeration date
08/15/2013
Last updated
07/22/2019
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