Individual
DR. KATHERINE KYOUNG-JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1210 LAKEWOOD PL, BRONX, NY 10461-1816
(917) 334-0636
Mailing address
1210 LAKEWOOD PL, BRONX, NY 10461-1816
(917) 334-0636
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
P71274
NY
Other
Enumeration date
07/25/2009
Last updated
07/25/2009
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