Individual
DR. JU-YOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5501 N 19TH AVE STE 206, PHOENIX, AZ 85015-2452
(602) 249-4465
(602) 249-4405
Mailing address
5501 N 19TH AVE STE 206, PHOENIX, AZ 85015-2452
(602) 249-4465
(602) 249-4405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6195
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897689
—
AZ
Enumeration date
08/09/2006
Last updated
05/20/2014
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