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Individual

DR. EUGENIE EUNKYUNG LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D., M.S.

Contact information

Practice address
230 CENTRE ST, NUTLEY, NJ 07110-2877
(973) 661-2992
Mailing address
230 CENTRE ST, NUTLEY, NJ 07110-2877

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02404500
NJ

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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