Individual
DONG CHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5003 TACOMA MALL BLVD STE 103, TACOMA, WA 98409-7120
(253) 759-3366
Mailing address
2515 JEFFERSON AVE APT 303, TACOMA, WA 98402-1318
(209) 933-1119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61580469
WA
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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