Individual
JOOSANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 US HIGHWAY 259 S, HENDERSON, TX 75654-3629
(903) 392-8251
Mailing address
3637 US HIGHWAY 259 N APT 1004, LONGVIEW, TX 75605-7781
(412) 708-5791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39809
TX
Other
Enumeration date
07/11/2023
Last updated
05/22/2024
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