Provider Demographics
NPI:1184164956
Name:YOUNG MIN LEE DDS PLLC
Entity type:Organization
Organization Name:YOUNG MIN LEE DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNG MIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-235-1230
Mailing Address - Street 1:3118 S 279TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-1941
Mailing Address - Country:US
Mailing Address - Phone:512-351-2309
Mailing Address - Fax:
Practice Address - Street 1:15726 1ST AVE S
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-1211
Practice Address - Country:US
Practice Address - Phone:206-988-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60707787122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty