Individual
DR. HYUNJI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N JACOB DR, BLOOMINGTON, IN 47404-4823
(812) 323-7400
Mailing address
2780 S WALNUT STREET PIKE APT B320, BLOOMINGTON, IN 47401-8970
(215) 687-0425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013262A
IN
Other
Enumeration date
08/26/2019
Last updated
09/09/2019
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