Lee, Yung-Wan

Lee, Yung-Wan is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Yung-Wan can be contacted via phone (508) 852-1805.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 853-8593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20185 Massachusetts

Profile Details

NPI number 1497716500
LBN Legal business name Lee, Yung-Wan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497716500 NPPES
Massachusetts MEDICAID 1301071

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