# SOONKI LEE DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033618681
- **Authorized official:** SOONKI LEE DDS (OWNER)
- **Authorized official phone:** (213) 384-1036

## Contact information

- **Practice address:** 3030 W OLYMPIC BLVD STE 216, LOS ANGELES, CA 90006-6507
- **Practice address phone:** (213) 384-1036
- **Mailing address:** 3030 W OLYMPIC BLVD STE 216, LOS ANGELES, CA 90006-6507
- **Mailing address phone:** (213) 384-1036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DDS62164 | CA | Yes |

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 09/13/2018