Lee, Kyu Jin
Lee, Kyu Jin is an sole proprietor health care provider with primary practice located at 2550 Douglas Blvd Ste 100 , Roseville CA 95661-3996. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Lee, Kyu Jin can be contacted via phone (916) 786-7070.Contact Information
Primary practice address
2550 Douglas Blvd Ste 100
Roseville CA 95661-3996
Phone: (916) 786-7070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 109359 | California |
Profile Details
| NPI number | 1932986056 |
|---|---|
| LBN Legal business name | Lee, Kyu Jin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2023 |
| Last updated | Sep 12th, 2023 - about last year |
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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