Dr. Suho Lee
Pediatric Dentist
240 W Passaic St
Maywood
, New Jersey 07607-1264
Dr. Suho Lee
Pediatric Dentist
240 W Passaic St
Maywood
, New Jersey 07607-1264
(917) 902-0895
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Suho Lee
- 24171 Oak Park Dr
- Douglaston, NY
- Zip : 11362-2619
- Phone : (917) 902-0895
Second Address
- Dr. Suho Lee
- 240 W Passaic St
- Maywood, NJ
- Zip : 07607-1264
- Fax : (201) 843-4773
- Phone : (201) 843-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 22D102291600 | NJ |
National Provider Identifier
| NPI | 1003828732 |
|---|---|
| Provider Name | Dr. Suho Lee |
| First Address | Douglaston, NY 11362-2619 |
| Second Address | Maywood, NJ 07607-1264 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.