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Individual

DR. MIKE HYUN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1813 W HARVARD AVE, SUITE 221, ROSEBURG, OR 97470-2752
(541) 672-2461
Mailing address
1813 W HARVARD AVE, SUITE 221, ROSEBURG, OR 97470-8704
(541) 672-2461

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7274
OR

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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