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Organization
LEEDENTALGROUP
Active
Organization
LEEDENTALGROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LEE DDS (DOCTOR)
(949) 798-9591
Entity
Organization
Contact information
Practice address
9432 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
(714) 537-5350
(714) 537-6576
Mailing address
9432 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
(714) 537-5350
(714) 537-6576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33320
CA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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