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Organization
SAMUEL LEE DMD INC.
Active
Organization
SAMUEL LEE DMD INC.
Active
Other names
Imprint Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LEE DMD (CHIEF EXECUTIVE OFFICER)
(626) 657-8546
Entity
Organization
Contact information
Practice address
56 E DUARTE RD UNIT 103, ARCADIA, CA 91006-3511
(626) 657-8546
Mailing address
713 W DUARTE RD UNIT G524, ARCADIA, CA 91007-7564
(626) 657-8546
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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