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Contact Information

EUN YOUNG LEE, DDS, MSD, PHD
8381 OLD COURTHOUSE RD SUITE 100
SUITE 100
VIENNA, VA22182-3818
 Phone: 703-570-7870
 Fax: 703-745-5905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for EUN YOUNG LEE · (Female)

NPI Number 1992069918
Status Active
Credentials DDS, MSD, PHD
Entity Individual
Enumeration date 06/25/2012
Last updated 02/26/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0401413569
  • VA Medicaid 085437900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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