Individual
DR. KOOK SUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
818 N EASTON RD, GLENSIDE, PA 19038-3808
(215) 885-6020
(215) 885-0665
Mailing address
818 N EASTON RD, GLENSIDE, PA 19038-3808
(215) 885-6020
(215) 885-0665
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS029803L
PA
Other
Enumeration date
04/02/2007
Last updated
12/19/2013
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