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1508539503
DANIEL DEOKCHUN LEE
BLOOMFIELD, NJ
NPI
1508539503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02852700)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
DANIEL DEOKCHUN LEE
1455 BROAD ST STE 105
BLOOMFIELD, NJ 07003-3039
Phone number: 862-702-5234
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Mailing Address
DANIEL DEOKCHUN LEE
414 HACKENSACK AVE APT 1315
HACKENSACK, NJ 07601-6579
Phone number: 929-367-1257
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