Individual
DR. GRACE JI YEON PARK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1805 W 24TH ST, YUMA, AZ 85364-6104
(928) 726-7041
(928) 726-2638
Mailing address
1805 W 24TH ST, YUMA, AZ 85364-6104
(928) 726-7041
(928) 726-2638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5582
AZ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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