Individual
EUNSUK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
63 HUDSON ST, SOUTH GLENS FALLS, NY 12803
(518) 792-2187
Mailing address
4 BEVSWOOD OAKS, CLIFTON PARK, NY 12065-8746
(518) 357-3477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056145
NY
Other
Enumeration date
06/14/2011
Last updated
05/23/2019
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