Individual
DR. HO YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6240 QUINWOOD LN N STE 102, MAPLE GROVE, MN 55369-6384
(763) 391-7522
Mailing address
6240 QUINWOOD LN N STE 102, MAPLE GROVE, MN 55369-6384
(763) 391-7522
(763) 391-6574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12317
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932361474
GROUP TYPE II NPI
MN
Enumeration date
01/29/2007
Last updated
07/23/2019
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