DR. Tae Yong Lee, DDS

NPI #1528244670 in Annandale, Virginia

Provider Information

NPI Number: 1528244670
Entity Type: Individual
Name: DR. Tae Yong Lee, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 18, 2008
Last Updated: Jan 18, 2008

Practice Location

Address: 7002 LITTLE RIVER TPKE STE C
City: Annandale
State: Virginia
ZIP Code: 22003-3200
Phone: (703) 256-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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