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Organization
KWANG LEE D.D.S. INC.
Active
Organization
KWANG LEE D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWANG LEE DDS (DENTIST)
(805) 489-8904
Entity
Organization
Contact information
Practice address
1558 W GRAND AVE, GROVER BEACH, CA 93433-2236
(805) 489-8904
(805) 474-5899
Mailing address
1558 W GRAND AVE, GROVER BEACH, CA 93433-2236
(805) 489-8904
(805) 474-5899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
TAXANOMY
—
Enumeration date
05/07/2015
Last updated
05/08/2015
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