# AHN, LEE AND PARK DENTAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** blessed Smile dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265872444
- **Authorized official:** SOOJI H LEE DDS (DIRECTOR)
- **Authorized official phone:** (818) 279-1634

## Contact information

- **Practice address:** 1155 S DIAMOND BAR BLVD STE D, DIAMOND BAR, CA 91765-2235
- **Practice address phone:** (818) 279-1634
- **Mailing address:** 1155 S DIAMOND BAR BLVD STE D, DIAMOND BAR, CA 91765-2235
- **Mailing address phone:** (818) 279-1634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 41978 | CA | — |
| 122300000X | Dentist | 46233 | CA | — |
| 122300000X | Dentist | 54619 | CA | Yes |

## Other

- **Enumeration date:** 07/02/2013
- **Last updated:** 07/02/2013