Organization
JUNGWOO LEE
Active
Other names
Dental Express
Organization subpart
No
Provider details
NPI number
Authorized official
JUNGWOO LEE DDS (OWNER)
(480) 233-2003
Entity
Organization
Contact information
Practice address
7545 W BELL RD, SUITE 105, PEORIA, AZ 85382-3832
(480) 233-2003
Mailing address
7545 W BELL RD, SUITE 105, PEORIA, AZ 85382-3832
(480) 233-2003
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D008679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134238
—
AZ
Enumeration date
06/29/2016
Last updated
06/29/2016
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