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General NPI Number Information
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NPI Number | 1982432118
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Entity Type | Organization
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Legal Business Name | SANG WOO LEE DDS LLC
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 2241 BEL PRE RD
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City | SILVER SPRING
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State | MD
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Zip | 20906-2204
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Country | US
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Telephone | 240-433-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 14311 POTOMAC HEIGHTS LN
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City | ROCKVILLE
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State | MD
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Zip | 20850-3845
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Country | US
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Telephone | 703-388-6324
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. SANG WOO LEE
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Credential | DDS
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Telephone | 240-433-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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