Individual
HYUNSEO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 N OLD KINGS RD, ORMOND BEACH, FL 32174-9505
(386) 672-2590
Mailing address
112 GREY DAPPLE WAY, ORMOND BEACH, FL 32174-1482
(386) 868-6639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26913
FL
Other
Enumeration date
03/30/2022
Last updated
12/18/2023
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