| Kwansoo Lee, Dds, Pllc | |
|
20709 Mountain Highway E Suite 101 Spanaway WA 98387-8580 | |
| (253) 777-0550 | |
| (253) 617-0208 |
| Full Name | Kwansoo Lee, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20709 Mountain Highway E, Spanaway, Washington |
| Authorized Official Name and Position | Kwansoo Lee (DENTIST/OWNER) |
| Authorized Official Contact | 2537770550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwansoo Lee, Dds, Pllc 20709 Mountain Highway E Suite 101 Spanaway WA 98387-8580 Ph: (253) 777-0550 | Kwansoo Lee, Dds, Pllc 20709 Mountain Highway E Suite 101 Spanaway WA 98387-8580 Ph: (253) 777-0550 |
| NPI Number | 1700203114 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700203114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60293904 (Washington) | Primary |
Community Health Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21818 38th Ave E, Spanaway, WA 98387 Phone: 253-597-4550 | |
Community Health Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 188th St S, Spanaway, WA 98387 Phone: 253-847-2304 | |
Minsun James Song, Dds, Pllc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 191st Street Ct E, Spanaway, WA 98387 Phone: 253-993-6376 | |
Landon King Dds Justin Vanbibber Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17415 Pacific Ave S Ste Ab, Spanaway, WA 98387 Phone: 360-907-9662 | |
K.lee, Dds, Pllc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20709 Mountain Hwy E # 102, Spanaway, WA 98387 Phone: 253-294-7047 Fax: 253-387-8899 |