Individual
DR. BRIAN KWANGSUK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1964 GALLOWS RD STE 230, VIENNA, VA 22182-3814
(703) 448-6909
Mailing address
1964 GALLOWS RD STE 230, VIENNA, VA 22182-3814
(703) 448-6909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418324
VA
Other
Enumeration date
04/26/2019
Last updated
01/31/2025
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