Individual
DR. EUN YOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD, PHD
Contact information
Practice address
8381 OLD COURTHOUSE RD SUITE 100, SUITE 100, VIENNA, VA 22182-3818
(703) 570-7870
(703) 745-5905
Mailing address
8381 OLD COURTHOUSE RD SUITE 100, SUITE 100, VIENNA, VA 22182-3818
(703) 570-7870
(703) 745-5905
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401413569
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085437900
—
VA
Enumeration date
06/25/2012
Last updated
02/26/2025
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