person
Dr. Kang Yul Lee, DDS
General Practice Dentistry in South Lake Tahoe, California
NPI 1861567349

Kang Yul Lee is a General Practice Dentistry based in South Lake Tahoe, CA and is specialized in General Practice. Kang Yul Lee practices in South Lake Tahoe, CA and has the professional credentials of DDS. The NPI Number for Kang Yul Lee is 1861567349 and holds a License No. 45130 (California).

The current practice location address for Kang Yul Lee is 2180 Lake Tahoe Blvd., South Lake Tahoe, CA and can be reached out via phone at 530-541-8229 and via fax at 530-541-8964.

Location: 2180 Lake Tahoe Blvd., South Lake Tahoe, CA, 96150
person
Provider Profile Details
NPI Number
1861567349
Provider Name
Kang Yul Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2180 Lake Tahoe Blvd., South Lake Tahoe, CA, 96150
Phone Number
530-541-8229
Fax Number
530-541-8964
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G91956 05 CA
institution
Provider Business Practice Location Address Details
Address
2180 Lake Tahoe Blvd.
City
State
Zip
96150
Phone Number
530-541-8229
Fax Number
530-541-8964
person
Provider Business Mailing Address Details
Address
2180 Lake Tahoe Blvd.
City
State
Zip
96150
Phone Number
530-541-8229
Fax Number
530-541-8964
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
45130 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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