Chang Joo Lee, DMD Valid NPI
Individual provider · Pediatric Dentistry · Derry, NH
- NPI
- 1386138170
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 05134 (NH)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-06-15
- Last updated
- 2024-09-12
Practice location
4 Manchester Ave
Derry, NH 03038-1931
(603) 434-1586