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General NPI Number Information
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NPI Number | 1134035595
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Entity Type | Organization
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Legal Business Name | JUNG LEE DDS PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 3701 88TH ST. NE STE D
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City | MARYVILLE
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State | WA
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Zip | 98270
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Country | US
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Telephone | 360-925-6530
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Fax | 360-691-9047
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Provider Business Mailing Address
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Address Line | 3701 88TH ST. NE STE D
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City | MARYVILLE
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State | WA
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Zip | 98270
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Country | US
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Telephone | 360-925-6530
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Fax | 360-691-9047
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Authorized Official
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Title or Position | DDS, OWNER
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Name | JUNG LEE
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Credential |
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Telephone | 360-925-6530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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