NPI 1063113439

Philip Junho Lee

Practitioner General Practice Dentistry Cape Girardeau, MO

Practice location

Address: 3070 William St, Cape Girardeau, MO 63703-6389
Phone: (573) 290-3111

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2024030190 (MO)

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Registry record

NPI: 1063113439
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2023
Record last updated: 14 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.