| NPI | 1679958458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOO YUN LEE Doctor 410-672-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13674) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |