MR. Beom Young Lee, DMD

NPI #1366166621 in Manitowoc, Wisconsin

Provider Information

NPI Number: 1366166621
Entity Type: Individual
Name: MR. Beom Young Lee, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 30, 2022
Last Updated: Sep 30, 2022

Practice Location

Address: 2719 CALUMET AVE
City: Manitowoc
State: Wisconsin
ZIP Code: 54220-5546
Phone: (920) 783-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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