Individual
JUNG SUP LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
2480 PASCOLI PL, LEXINGTON, KY 40509-4537
(859) 420-8706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10026
KY
1223G0001X
General Practice Dentistry
Primary
10026
KY
Other
Enumeration date
09/02/2017
Last updated
04/09/2024
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