Individual
JEE HYUN LYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13875 HWY 13, FRONTAGE RD, SUITE 50, SAVAGE, MN 55378
(952) 226-7940
Mailing address
13875 HWY 13, FRONTAGE RD, SUITE 50, SAVAGE, MN 55378
(952) 226-7940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.3257
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D13892
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
R570
MN
Other
Enumeration date
08/20/2012
Last updated
11/07/2022
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