| Kevin K. Lee Dental Corporation | |
|
255 W Central Ave Ste 101 Brea CA 92821-3373 | |
| (714) 529-5999 | |
| Not Available |
| Full Name | Kevin K. Lee Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 255 W Central Ave Ste 101, Brea, California |
| Authorized Official Name and Position | Kevin Lee (OWNER) |
| Authorized Official Contact | 4084648950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin K. Lee Dental Corporation 8755 E Cloudview Way Anaheim CA 92808-1658 Ph: (408) 464-8950 | Kevin K. Lee Dental Corporation 255 W Central Ave Ste 101 Brea CA 92821-3373 Ph: (714) 529-5999 |
| NPI Number | 1528707197 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528707197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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