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General NPI Number Information
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NPI Number | 1629926621
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Entity Type | Organization
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Legal Business Name | SUNG LEE DMD PS
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 3712 9TH ST SW STE 1
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City | PUYALLUP
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State | WA
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Zip | 98373-3564
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Country | US
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Telephone | 253-864-4840
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Fax | 253-864-4841
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Provider Business Mailing Address
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Address Line | 3712 9TH ST SW STE 1
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City | PUYALLUP
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State | WA
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Zip | 98373-3564
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Country | US
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Telephone | 253-864-4840
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Fax | 253-864-4841
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNG LEE
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Credential | DMD
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Telephone | 253-864-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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