Individual
DR. KYUNG JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3097 STEINWAY ST, ASTORIA, NY 11103-3440
(718) 545-5100
Mailing address
3097 STEINWAY ST, ASTORIA, NY 11103-3440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060821
NY
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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