| Kiwon Lee, D.d.s., Pc | |
|
305 W Grand Ave Ste 100 Montvale NJ 07645-1813 | |
| (201) 746-9474 | |
| Not Available |
| Full Name | Kiwon Lee, D.d.s., Pc |
|---|---|
| Speciality | Dentist |
| Location | 305 W Grand Ave Ste 100, Montvale, New Jersey |
| Authorized Official Name and Position | Maritza Duran (CREDENTIALING ASSISITANT) |
| Authorized Official Contact | 5162291441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiwon Lee, D.d.s., Pc 305 W Grand Ave Ste 100 Montvale NJ 07645-1813 Ph: (201) 746-9474 | Kiwon Lee, D.d.s., Pc 305 W Grand Ave Ste 100 Montvale NJ 07645-1813 Ph: (201) 746-9474 |
| NPI Number | 1528579273 |
|---|---|
| Provider Enumeration Date | 10/21/2017 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528579273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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