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Organization
NANCY LEE, D.D.S. INC.
Active
Organization
NANCY LEE, D.D.S. INC.
Active
Other names
Media Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LEE D.D.S. (OWNER)
(818) 563-9888
Entity
Organization
Contact information
Practice address
2901 W OLIVE AVE, BURBANK, CA 91505-4536
(818) 563-9888
(818) 563-2888
Mailing address
2901 W OLIVE AVE, BURBANK, CA 91505-4536
(818) 563-9888
(818) 563-2888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32241
DENTAL LICENSE
CA
Enumeration date
04/03/2007
Last updated
08/22/2020
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