Individual
DR. KIWON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 W GRAND AVE STE 100, MONTVALE, NJ 07645-1829
(201) 746-9474
(201) 746-9473
Mailing address
65 BROADWAY STE 901, NEW YORK, NY 10006-2535
(212) 683-0174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
058305-1
NY
1223G0001X
General Practice Dentistry
Primary
22DI02591500
NJ
Other
Enumeration date
05/24/2010
Last updated
09/13/2022
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