| Kang K. Lee,dds,inc. | |
|
14435 Hamlin St Suite 205 Van Nuys CA 91401-6205 | |
| (818) 997-6300 | |
| (818) 997-6335 |
| Full Name | Kang K. Lee,dds,inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14435 Hamlin St, Van Nuys, California |
| Authorized Official Name and Position | Kang Ku Lee (PRESIDENT) |
| Authorized Official Contact | 8189976300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kang K. Lee,dds,inc. 14435 Hamlin St Suite 205 Van Nuys CA 91401-6205 Ph: (818) 997-6300 | Kang K. Lee,dds,inc. 14435 Hamlin St Suite 205 Van Nuys CA 91401-6205 Ph: (818) 997-6300 |
| NPI Number | 1477650125 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477650125 | NPI | - | NPPES |
| B33322-03 | Medicaid | CA | |
| B33322-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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