Individual provider · Type 1 NPI
Samuel Soonho Lee, DDS
Oral and Maxillofacial Surgery (Dentist) · San Diego, CA
Practice location
6727 Flanders Dr Ste 220
San Diego, CA 92121-2926
Fax (888) 553-4912
Mailing address
11 Cambridge St
Burlington, MA 01803-4625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN1855469 (MA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 51353 (CA) |
| Dentist | 122300000X | 51353 (CA) |
| Dentist | 122300000X | 054368-1 (NY) |
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 1851418255
Samuel Soonho Lee, DDS's National Provider Identifier is 1851418255, issued on Mar 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Diego, CA. The record was last updated on Apr 16, 2024.