Individual
DR. ANTHONY KYUHYUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
708 W MOUNT VERNON ST, NIXA, MO 65714
(417) 494-5017
(417) 494-5019
Mailing address
708 W MOUNT VERNON ST, NIXA, MO 65714-9682
(417) 494-5017
(417) 494-5019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2004013592
MO
Other
Enumeration date
08/29/2006
Last updated
10/17/2018
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