Individual provider · Type 1 NPI
Kang Yul Lee, DDS
General Practice Dentistry · South Lake Tahoe, CA
NPI number
1861567349
Active
Practice location
2180 Lake Tahoe Blvd., Ste #5
South Lake Tahoe, CA 96150
Fax (530) 541-8964
Mailing address
2180 Lake Tahoe Blvd, Ste #5
South Lake Tahoe, CA 96150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 45130 (CA) |
| General Practice Dentistry | 1223G0001X | 4897T (NV) |
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.
Another provider at this address
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About NPI 1861567349
Kang Yul Lee, DDS's National Provider Identifier is 1861567349, issued on Nov 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Aug 6, 2015.