Individual
SO JUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
13880 BRADDOCK RD STE 109, CENTREVILLE, VA 20121-2460
(703) 830-9990
Mailing address
9450 FAIRFAX BLVD APT 1504, FAIRFAX, VA 22031-2422
(703) 969-4878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417223
VA
1223G0001X
General Practice Dentistry
30.026164
OH
Other
Enumeration date
06/03/2020
Last updated
04/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us