| Thomas Kyung Lee, Dds, Inc. | |
|
3559 W Ramsey St Ste C1 Banning CA 92220-3505 | |
| (951) 922-3993 | |
| (951) 922-3998 |
| Full Name | Thomas Kyung Lee, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3559 W Ramsey St Ste C1, Banning, California |
| Authorized Official Name and Position | Thomas K Lee (PRESIDENT) |
| Authorized Official Contact | 9519223993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kyung Lee, Dds, Inc. 3559 W Ramsey St Ste C1 Banning CA 92220-3505 Ph: (951) 922-3993 | Thomas Kyung Lee, Dds, Inc. 3559 W Ramsey St Ste C1 Banning CA 92220-3505 Ph: (951) 922-3993 |
| NPI Number | 1215179569 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215179569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44332 (California) | Primary |
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