Individual
WON JONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
2835 SAINT ROSE PKWY STE 100, HENDERSON, NV 89052-4847
(310) 715-9585
Mailing address
334 N ATLANTIC BLVD APT 209, ALHAMBRA, CA 91801-2223
(310) 715-9585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
101135
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
101135
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-203C
NV
Other
Enumeration date
07/10/2017
Last updated
05/31/2023
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