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Individual

KYULIM LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, PHD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.026744
OH
1223P0221X
Pediatric Dentistry
Primary
30.026744
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0483728
OH
Enumeration date
08/31/2020
Last updated
04/14/2025
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