Organization
MISO DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYEOK JE LEE DMD (PRESIDENT)
(763) 331-5816
Entity
Organization
Contact information
Practice address
6240 QUINWOOD LN N # 100, MAPLE GROVE, MN 55369-6384
(763) 391-6486
(763) 710-7485
Mailing address
6240 QUINWOOD LN N STE 100, MAPLE GROVE, MN 55369-6384
(763) 331-5816
(763) 391-6574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
08/13/2019
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