Individual
DR. KYU JIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2550 DOUGLAS BLVD STE 100, ROSEVILLE, CA 95661-3996
(916) 786-7070
Mailing address
2220 CEMO CIR APT 4327, GOLD RIVER, CA 95670-8169
(310) 405-9363
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
109359
CA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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