| Wonjoo Lee Dental Corp. | |
|
632 San Pablo Ave Albany CA 94706-1129 | |
| (510) 395-2119 | |
| Not Available |
| Full Name | Wonjoo Lee Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 632 San Pablo Ave, Albany, California |
| Authorized Official Name and Position | Wonjoo Lee (PRESIDENT) |
| Authorized Official Contact | 5103952119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonjoo Lee Dental Corp. 3540 Grand Ave Ste 100 Oakland CA 94610-2010 Ph: () - | Wonjoo Lee Dental Corp. 632 San Pablo Ave Albany CA 94706-1129 Ph: (510) 395-2119 |
| NPI Number | 1205507258 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205507258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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