Individual
KEONA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
DMD
Contact information
Practice address
1040 N RANGELINE RD, CARMEL, IN 46032-1469
(317) 846-3436
Mailing address
2681 NEWINGTON LN, CARMEL, IN 46074-5847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014723A
IN
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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