NPI: 1598399040 · CARY, NC 27513 · Community/Retail Pharmacy · NPI assigned 02/24/2020
| Authorized Official | LEE, JIN (MEMBER/OWNER) |
| NPI Enumeration Date | 02/24/2020 |
Other providers sharing the same authorized official: LEE, JIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| JIN KYU LEE DDS INC | HUNTINGTON PARK | CA | $178K |
| LAREDO COVENANT DENTAL, P.A. | LAREDO | TX | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91300 | 19 | 13 | $0.00 |