Kyungsang Lee, DDS
Dentist in Austin, TX. Individual provider (NPI-1).
NPI number1336701606
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1336701606
- Entity type
- Individual (NPI-1)
- Name
- Kyungsang Lee
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 35266 | TX | Yes |
Practice location
1303 San Antonio St Ste 500Austin, TX 78701
Phone 512-879-6600
Mailing address
6708 Avila WayPflugerville, TX 78660-6870
Phone 210-439-1129
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