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NPI Code Detail

MEDICARE: HYUN JEE LEE DDS

MEDICARE:   HYUN JEE  LEE  DDS
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
1122300000XDentist065384-01NY
2122300000XDentist110662CA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1972291813
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYUN JEE LEE DDS
Provider Business Mailing Address
First Line : 2 BRIARGLEN
Second Line :
City : IRVINE
State : CA
Zip : 92614-7598
Country : US
Telephone Number : 949-923-7458
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 718-630-6875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2023
Last Update Date : 06/10/2026

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Directions to “ HYUN JEE LEE DDS” Practice Location

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