Individual provider · Type 1 NPI
Soo Yun Stacy Lee, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · White Plains, MD
Practice location
10665 Stanhaven Pl, Ste 105
White Plains, MD 20695-3060
Fax (301) 870-7034
Mailing address
3400 Brinkley Rd, #201
Temple Hills, MD 20748-7105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 13674 (MD) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1114015948
Soo Yun Stacy Lee, DDS's National Provider Identifier is 1114015948, issued on Oct 10, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in White Plains, MD. The record was last updated on Jul 8, 2007.