Individual
DR. HYUNJAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 MAIN ST NW STE D, LOS LUNAS, NM 87031-4891
(505) 565-0651
Mailing address
863 SILVER AVE SW, ALBUQUERQUE, NM 87102-3020
(949) 940-5833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5659
NM
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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