| D H Lee Dmd Pa | |
|
109 Jolly St Louisburg NC 27549-2239 | |
| (919) 496-5734 | |
| (919) 496-6688 |
| Full Name | D H Lee Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Jolly St, Louisburg, North Carolina |
| Authorized Official Name and Position | Dong Hoon Lee (DMD) |
| Authorized Official Contact | 9194965734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D H Lee Dmd Pa 109 Jolly St Louisburg NC 27549-2239 Ph: (919) 496-5734 | D H Lee Dmd Pa 109 Jolly St Louisburg NC 27549-2239 Ph: (919) 496-5734 |
| NPI Number | 1134661747 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134661747 | NPI | - | NPPES |
| 9417 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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