# HUNTINGTON PARK DENTAL IMPLANT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255252847
- **Authorized official:** ALEX LEE DMD (PRESIDENT)
- **Authorized official phone:** (213) 399-4711

## Contact information

- **Practice address:** 6416 SANTA FE AVE, HUNTINGTON PARK, CA 90255-3808
- **Practice address phone:** (323) 749-6062
- **Practice address fax:** (323) 749-6519
- **Mailing address:** 6416 SANTA FE AVE, HUNTINGTON PARK, CA 90255-3808
- **Mailing address phone:** (213) 994-7111
- **Mailing address fax:** (323) 749-6519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2026
- **Last updated:** 07/21/2026
