Individual provider · Type 1 NPI

So Jung Lee, DMD

General Practice Dentistry · Centreville, VA

NPI number 1821612904 Active

Practice location

13880 Braddock Rd Ste 109
Centreville, VA 20121-2460

Call (703) 830-9990 Map

Mailing address

9450 Fairfax Blvd Apt 1504
Fairfax, VA 22031-2422

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X30.026164 (OH)
General Practice Dentistry Primary 1223G0001X0401417223 (VA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1821612904

So Jung Lee, DMD's National Provider Identifier is 1821612904, issued on Jun 3, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Centreville, VA. The record was last updated on Apr 22, 2022.