| Kyoung Hee Susan Lee, Dds, Inc | |
|
570 E Virginia Way Barstow CA 92311-3910 | |
| (760) 255-1010 | |
| (760) 256-6707 |
| Full Name | Kyoung Hee Susan Lee, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 570 E Virginia Way, Barstow, California |
| Authorized Official Name and Position | Kyoung Hee Susan Lee (DR) |
| Authorized Official Contact | 7602551010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyoung Hee Susan Lee, Dds, Inc 570 E Virginia Way Barstow CA 92311-3910 Ph: (760) 255-1010 | Kyoung Hee Susan Lee, Dds, Inc 570 E Virginia Way Barstow CA 92311-3910 Ph: (760) 255-1010 |
| NPI Number | 1598808453 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598808453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49787 (California) | Primary |
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