# JOSEPH KIM DANIEL LEE & JOHN HODGES DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Denture Club of Vancouver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316657109
- **Authorized official:** MS. TAMI ODEN (OFFICE MANAGER)
- **Authorized official phone:** (206) 992-6817

## Contact information

- **Practice address:** 3215 SE 192ND AVE STE 112, VANCOUVER, WA 98683-1469
- **Practice address phone:** (253) 833-9914
- **Practice address fax:** (253) 833-9914
- **Mailing address:** 3215 SE 192ND AVE STE 112, VANCOUVER, WA 98683-1469
- **Mailing address phone:** (253) 833-9914
- **Mailing address fax:** (253) 833-9914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/01/2022