Provider Demographics
NPI:1033405832
Name:LEE, JUNHO (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JUNHO
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 FEDERSPIEL ST
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6940
Mailing Address - Country:US
Mailing Address - Phone:646-906-4783
Mailing Address - Fax:
Practice Address - Street 1:30 WALL ST STE 720
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2212
Practice Address - Country:US
Practice Address - Phone:212-514-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.028596122300000X
NJ22DI03088000122300000X
NY064614122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist