Individual
DR. SANGYOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3619 PARK EAST DR STE 312, BEACHWOOD, OH 44122-4312
(216) 245-7543
Mailing address
3619 PARK EAST DR STE 312, BEACHWOOD, OH 44122-4312
(216) 245-7543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21847
OH
1223P0300X
Periodontics
21847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2541646
—
OH
Enumeration date
08/24/2006
Last updated
02/16/2021
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