| Lee Dental Group Inc | |
|
262 S Glassell St Orange CA 92866-1918 | |
| (714) 823-3344 | |
| Not Available |
| Full Name | Lee Dental Group Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 262 S Glassell St, Orange, California |
| Authorized Official Name and Position | Daesun Lee (DENTIST) |
| Authorized Official Contact | 9095578622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Dental Group Inc 262 S Glassell St Orange CA 92866-1918 Ph: (714) 823-3344 | Lee Dental Group Inc 262 S Glassell St Orange CA 92866-1918 Ph: (714) 823-3344 |
| NPI Number | 1518421809 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 01/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518421809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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