Healthcare Provider Details

I. General information

NPI: 1407773666
Provider Name (Legal Business Name): LEE & HWANG PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 E YOUNG ST
ELMA WA
98541-9293
US

IV. Provider business mailing address

290 BRIDGTON RD STE 2
WESTBROOK ME
04092-3754
US

V. Phone/Fax

Practice location:
  • Phone: 360-861-8318
  • Fax:
Mailing address:
  • Phone: 732-207-1689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID LEE
Title or Position: COO
Credential:
Phone: 732-207-1689