Organization
KIWON LEE, D.D.S., PC
Active
Other names
Bear Brook Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA DURAN (CREDENTIALING ASSISITANT)
(516) 229-1441
Entity
Organization
Contact information
Practice address
305 W GRAND AVE STE 100, MONTVALE, NJ 07645-1813
(201) 746-9474
Mailing address
305 W GRAND AVE STE 100, MONTVALE, NJ 07645-1813
(201) 746-9474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/21/2017
Last updated
03/08/2018
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