Individual
DR. BYUNG-IL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13908 SE STARK ST, SPACE B, PORTLAND, OR 97233-2161
(503) 253-4979
Mailing address
13908 SE STARK ST, SPACE B, PORTLAND, OR 97233-2161
(503) 253-4979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9672
OR
Other
Enumeration date
11/18/2011
Last updated
07/07/2012
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