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General NPI Number Information
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NPI Number | 1447301619
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Entity Type | Individual
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Provider Name | SUNG LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 10750 W MCDOWELL RD # D-410
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City | AVONDALE
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State | AZ
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Zip | 85323-5960
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Country | US
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Telephone | 623-907-2997
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 BARONET PL
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City | FULLERTON
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State | CA
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Zip | 92833-1501
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Country | US
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Telephone | 520-906-4185
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 7096
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 110532
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License Number State | CA
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