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Organization
ROAR ASSOCIATES INC.
Active
Organization
ROAR ASSOCIATES INC.
Active
Other names
A Dental Practice of Gannon Lee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANNON KA LEE DDS (OWNER)
(949) 448-7667
Entity
Organization
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 405, MISSION VIEJO, CA 92691-8022
(949) 448-7667
(949) 586-6525
Mailing address
26800 CROWN VALLEY PKWY STE 405, MISSION VIEJO, CA 92691-8022
(949) 448-7667
(949) 586-6525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/27/2017
Last updated
07/21/2025
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