Ellen Wonsun Lee

NPI 1023029220 - Dentist - 1223G0001X

NPI Details
NPI 1023029220
Gender Female
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2111 W PATAPSCO AVE
BALTIMORE MD, 21230-2946, US
Phone (410) 644-4100
Fax
Business Location
415 N GRAND AVE
PUEBLO CO, 81003-3111, US
Phone (719) 546-3333
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 13788
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According to our database, Ellen Wonsun Lee NPI is 1023029220, taxonomy code is 1223G0001X and license number is 13788, license state is located at Maryland. Ellen Wonsun Lee physically located at 2111 W Patapsco Ave, Baltimore MD, 21230-2946. NPI Number Ellen Wonsun Lee has the Individual type.

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1023029220 NPI number is provided on an as is basis without warranty of any kind. 1023029220 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Wonsun Lee are for informational purposes only.