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Organization
HENRY H. LEE, DDS, GENERAL DENTISTRY
Active
Organization
HENRY H. LEE, DDS, GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY H. LEE DDS (OWNER)
(714) 524-1836
Entity
Organization
Contact information
Practice address
17021 YORBA LINDA BLVD, SUITE 10, YORBA LINDA, CA 92886-3743
(714) 524-1836
Mailing address
17021 YORBA LINDA BLVD, SUITE 10, YORBA LINDA, CA 92886-3743
(714) 524-1836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45134
CALIFORNIA DENTAL BOARD
CA
01
—
B45134-01
CALIFORNIA MEDI-CAL
CA
01
—
D45134
CALIFORNIA MEDI-CAL
CA
Enumeration date
07/17/2007
Last updated
07/17/2007
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