Individual
SUNNY JISUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1704 MIRAMONTE AVE STE 9, MOUNTAIN VIEW, CA 94040-3718
(650) 282-5758
Mailing address
150 MARKET ST., 428, MILPITAS, CA 95035
(310) 944-1635
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
109995
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6000043-15
WI
Other
Enumeration date
07/26/2022
Last updated
03/03/2026
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