Individual
DR. SAMUEL SOONHO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6727 FLANDERS DR STE 220, SAN DIEGO, CA 92121-2926
(714) 718-3446
(888) 553-4912
Mailing address
11 CAMBRIDGE ST, BURLINGTON, MA 01803-4625
(714) 718-3446
(888) 391-8014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054368-1
NY
122300000X
Dentist
51353
CA
122300000X
Dentist
DN1855469
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
51353
CA
Other
Enumeration date
03/23/2007
Last updated
04/16/2024
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