Lee, Gyeong Su

Lee, Gyeong Su is an individual health care provider with primary practice located at 618 Dental Co (As) #15652, Apo AP 96205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Gyeong Su can be contacted via phone 7364779.

Contact Information

Primary practice address
618 Dental Co (As) #15652 Apo AP 96205
Phone: 7364779
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1851375570
LBN Legal business name Lee, Gyeong Su
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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