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1366166621
BEOM YOUNG LEE
MANITOWOC, WI
NPI
1366166621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 23221-875)
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
Mr. BEOM YOUNG LEE DMD
2719 CALUMET AVE
MANITOWOC, WI 54220-5546
Phone number: 920-783-6633
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Mailing Address
Mr. BEOM YOUNG LEE DMD
PO BOX 959
SHEBOYGAN, WI 53082-0959
Phone number: 920-783-6633
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