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Organization

DR WOO JUNG LEE DDS INC

Active
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Organization

DR WOO JUNG LEE DDS INC

Active
Other names
Great Smile Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WOO JUNG LEE DDS (CEO)
(916) 784-6510
Entity
Organization

Contact information

Practice address
311 OAK RIDGE DR STE 4, ROSEVILLE, CA 95661-3427
(916) 784-6510
(916) 784-9017
Mailing address
311 OAK RIDGE DR STE 4, ROSEVILLE, CA 95661-3427
(916) 784-6510
(916) 784-9017

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50484
CA

Other

Enumeration date
10/26/2007
Last updated
10/26/2007
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