| Leedentalgroup | |
|
9432 Garden Grove Blvd Garden Grove CA 92844-1453 | |
| (714) 537-5350 | |
| (714) 537-6576 |
| Full Name | Leedentalgroup |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9432 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Brian Lee (DOCTOR) |
| Authorized Official Contact | 9497989591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leedentalgroup 9432 Garden Grove Blvd Garden Grove CA 92844-1453 Ph: (714) 537-5350 | Leedentalgroup 9432 Garden Grove Blvd Garden Grove CA 92844-1453 Ph: (714) 537-5350 |
| NPI Number | 1134590789 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134590789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33320 (California) | Primary |
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