Individual
DR. MOONYOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
100 EVERETT AVE STE 10, CHELSEA, MA 02150-2374
(617) 389-2112
Mailing address
100 EVERETT AVE STE 10, CHELSEA, MA 02150-2374
(617) 389-2112
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427484062
—
MA
Enumeration date
07/27/2009
Last updated
12/05/2018
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