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Organization
AHN, LEE AND PARK DENTAL GROUP, INC
Active
Organization
AHN, LEE AND PARK DENTAL GROUP, INC
Active
Other names
blessed Smile dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SOOJI H LEE DDS (DIRECTOR)
(818) 279-1634
Entity
Organization
Contact information
Practice address
1155 S DIAMOND BAR BLVD STE D, DIAMOND BAR, CA 91765-2235
(818) 279-1634
Mailing address
1155 S DIAMOND BAR BLVD STE D, DIAMOND BAR, CA 91765-2235
(818) 279-1634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
41978
CA
122300000X
Dentist
46233
CA
122300000X
Dentist
Primary
54619
CA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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