Individual
DR. MYUNG JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 MONCLOVA ROAD, MAUMEE, OH 43537-1835
(419) 893-3376
(419) 893-0575
Mailing address
5665 MONCLOVA ROAD, MAUMEE, OH 43537-1835
(419) 893-3376
(419) 893-0575
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30020999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCMH2373300
BUREAU OF HANDICAPS
OH
Enumeration date
01/09/2007
Last updated
07/08/2007
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