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1124172879
JONG S LEE
WOODBRIDGE, VA
NPI
1124172879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 204957315)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Dr. JONG S LEE
14416 JEFFERSON DAVIS HWY SUITE 16
WOODBRIDGE, VA 22191-2801
Phone number: 703-492-1999
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Mailing Address
Dr. JONG S LEE
14416 JEFFERSON DAVIS HWY SUITE 16
WOODBRIDGE, VA 22191-2801
Phone number: 703-492-1999
Copy
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