| Soo Yun S Lee Dmd Lla | |
|
8761 Piney Orchard Pkwy A Odenton MD 21113-2203 | |
| (410) 672-7207 | |
| (410) 672-7205 |
| Full Name | Soo Yun S Lee Dmd Lla |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8761 Piney Orchard Pkwy, Odenton, Maryland |
| Authorized Official Name and Position | Soo Yun Lee (DOCTOR) |
| Authorized Official Contact | 4106727207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soo Yun S Lee Dmd Lla 8761 Piney Orchard Pkwy A Odenton MD 21113-2203 Ph: (410) 672-7207 | Soo Yun S Lee Dmd Lla 8761 Piney Orchard Pkwy A Odenton MD 21113-2203 Ph: (410) 672-7207 |
| NPI Number | 1679958458 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679958458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13674 (Maryland) | Primary |
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