Individual
DR. ANDY JEONGHUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98-1005 MOANALUA RD SPC 2000, AIEA, HI 96701-4700
(626) 233-3958
Mailing address
1133 WAIMANU ST APT 609, HONOLULU, HI 96814-4251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61756
CA
1223G0001X
General Practice Dentistry
Primary
2682
HI
1223G0001X
General Practice Dentistry
28824
TX
Other
Enumeration date
08/27/2012
Last updated
11/01/2023
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