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General NPI Number Information
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NPI Number | 1538833579
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Entity Type | Organization
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Legal Business Name | Y M LEE DDS PLLC
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 33505 PACIFIC HWY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6809
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Country | US
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Telephone | 253-815-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 3118 S 279TH ST
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City | AUBURN
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State | WA
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Zip | 98001-1941
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Country | US
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Telephone | 951-235-1230
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | YOUNG MIN LEE
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Credential | DDS
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Telephone | 951-235-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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