| NPI | 1801903810 |
|---|---|
| Other Name | SANG YOON LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21847) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH 21847) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-02-16 |