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

DR. KYU JIN LEE, DDS

Active Sole Proprietor

DR. KYU JIN LEE, DDS is a Periodontology healthcare provider located in ROSEVILLE, California. NPI 1932986056 is currently active in the NPPES registry. Verify at CMS.

Periodontology · ROSEVILLE, CA

Registration Details

NPI Number
1932986056
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2023 (2.9617230325173 yrs)
Last Updated
Sep 12, 2023
License
109359 (CA)
Sole Proprietor
Yes

Practice Information

Address
2550 DOUGLAS BLVD STE 100
ROSEVILLE, CA, 956613996
Browse CA providers · Browse ZIP 95661
Phone
9167867070
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in ROSEVILLE, CA

Name Credential NPI
JENNIFER GOSS DDS 1073660346
DR. DEAN NADEEM AHMAD DDS 1902951064
DR. ROSEMARY WU DMD. MS 1659406205
DR. ASVIN VIDYACHARAN VASANTHAN DDS 1619000478
DR. LOUIS GENE CUCCIA DDS 1285852194
DR. KEY SOON HU CHOI DDS, MSD 1114130788
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.