Individual
BRIAN SANGHWAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10000 WATSON RD STE 2MM, SAINT LOUIS, MO 63126-1848
(314) 435-4204
Mailing address
1064 TOWN AND FOUR PARKWAY DR, SAINT LOUIS, MO 63141-6225
(661) 526-9001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024003502
MO
1223G0001X
General Practice Dentistry
7704
NV
Other
Enumeration date
09/13/2022
Last updated
12/02/2024
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