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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIMI JOONYOUNG LEE, DDS, MD

Active Sole Proprietor

MIMI JOONYOUNG LEE, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in NEW YORK, New York. NPI 1366604829 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · NEW YORK, NY

Registration Details

NPI Number
1366604829
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2008 (18.096338018741 yrs)
Last Updated
Feb 25, 2016
Licenses
056100-1 (NY)
265566-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
3915 BROADWAY
NEW YORK, NY, 100321565
Browse NY providers · Browse ZIP 10032
Phone
2125675536
Fax
2122026447
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in NEW YORK, NY

Name Credential NPI
DAVID BEHRMAN MD 1609876671
DR. JAY P GOLDSMITH DMD 1780670745
DR. JAMES YU-JEN SU D.D.S. 1710976923
DR. STEVEN JOSEPH CALDRONEY DDS, MD 1083603450
DR. BOLAJI OLUSOLA OGUNDARE DDS 1831170042
DR. MICHAEL D. TURNER DDS, MD 1760463137
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.