| Ethan C. A Lee Dental Inc. | |
|
6046 Whittier Blvd. Los Angeles CA 90022 | |
| (323) 726-3204 | |
| (323) 726-3390 |
| Full Name | Ethan C. A Lee Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6046 Whittier Blvd., Los Angeles, California |
| Authorized Official Name and Position | Ethan Chung An Lee (DDS/PRESIDENT) |
| Authorized Official Contact | 3237263204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan C. A Lee Dental Inc. 6046 Whittier Blvd Los Angeles CA 90022 Ph: (323) 726-3204 | Ethan C. A Lee Dental Inc. 6046 Whittier Blvd. Los Angeles CA 90022 Ph: (323) 726-3204 |
| NPI Number | 1609277433 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609277433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Secondary |
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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