Individual provider · Type 1 NPI

Suho Lee, DDS

Pediatric Dentistry · Maywood, NJ

NPI number 1003828732 Active

Practice location

240 W Passaic St
Maywood, NJ 07607-1264

Fax (201) 843-4773

Mailing address

24171 Oak Park Dr
Douglaston, NY 11362-2619

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X22D102291600 (NJ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7 other providers at this address

About NPI 1003828732

Suho Lee, DDS's National Provider Identifier is 1003828732, issued on Aug 12, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Maywood, NJ. The record was last updated on Jul 8, 2007.