# BEOM MO LEE DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** O Smile Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184766677
- **Authorized official:** BEOM MO LEE DDS PHD (PRESIDENT)
- **Authorized official phone:** (323) 734-3710

## Contact information

- **Practice address:** 966 S WESTERN AVE, 207, LOS ANGELES, CA 90006
- **Practice address phone:** (323) 734-2117
- **Practice address fax:** (323) 734-2117
- **Mailing address:** 966 S WESTERN AVE, 207, LOS ANGELES, CA 90006
- **Mailing address phone:** (323) 734-2117
- **Mailing address fax:** (323) 734-2117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 46284 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 07/18/2008