Individual provider · Type 1 NPI

Mimi Joonyoung Lee, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · New York, NY

NPI number 1366604829 Active

Practice location

3915 Broadway
New York, NY 10032-1565

Call (212) 567-5536 Map

Fax (212) 202-6447

Mailing address

10 Hunter St
Hicksville, NY 11801-5832

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X056100-1 (NY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X265566-1 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1366604829

Mimi Joonyoung Lee, DDS, MD's National Provider Identifier is 1366604829, issued on Jun 26, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Feb 25, 2016.