Individual
JOO YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
293 BOSTON POST RD, ORANGE, CT 06477-3520
(203) 795-4772
(203) 795-4769
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008899
CT
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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