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NPI Code Detail

MEDICARE: YUNJI LEE DMD

MEDICARE:   YUNJI  LEE  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN1856612MA

General Provider Information

NPI Number : 1568862589
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUNJI LEE DMD
Provider Business Mailing Address
First Line : 70 MAIN ST STE 100
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-2587
Country : US
Telephone Number : 617-959-4943
Fax Number : 978-965-4314
Provider Business Practice Location Address
First Line : 70 MAIN ST STE 100
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-2587
Country : US
Telephone Number : 978-965-4315
Fax Number : 978-965-4314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2014
Last Update Date : 02/19/2020

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Directions to “ YUNJI LEE DMD” Practice Location

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