Gundong Lee Dental Corporation | |
16106 Bellflower Blvd Bellflower CA 90706-4606 | |
(562) 920-9220 | |
Not Available |
Full Name | Gundong Lee Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 16106 Bellflower Blvd, Bellflower, California |
Authorized Official Name and Position | Gundong Lee (CEO) |
Authorized Official Contact | 9098001994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gundong Lee Dental Corporation 16106 Bellflower Blvd Bellflower CA 90706-4606 Ph: (562) 920-9220 | Gundong Lee Dental Corporation 16106 Bellflower Blvd Bellflower CA 90706-4606 Ph: (562) 920-9220 |
NPI Number | 1396308276 |
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Provider Enumeration Date | 04/17/2019 |
Last Update Date | 04/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396308276 | NPI | - | NPPES |
65092 | Other | CA | DENTAL BOARD OF CALIFORNIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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