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Organization
WONJOON LEE, DDS, INC
Active
Organization
WONJOON LEE, DDS, INC
Active
Other names
House Dental, South Gate
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WONJOON LEE DDS (OWNER)
(323) 484-9599
Entity
Organization
Contact information
Practice address
8617 CALIFORNIA AVE, SOUTH GATE, CA 90280-3003
(323) 484-9599
Mailing address
8617 CALIFORNIA AVE, SOUTH GATE, CA 90280-3003
(323) 484-9599
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
64812
CA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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