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Organization

KENENTH K. LEE, D.D.S., INC.

Active
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Organization

KENENTH K. LEE, D.D.S., INC.

Active
Parent organization
KENENTH K. LEE, D.D.S., INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
KENENTH K. LEE, D.D.S., INC.
Authorized official
SOKVY NGONG (OFFICE MANAGER)
(562) 494-5060
Entity
Organization

Contact information

Practice address
4755 E. ANAHEIM ST., LONG BEACH, CA 90804
(562) 494-5060
Mailing address
4755 E ANAHEIM ST, LONG BEACH, CA 90804-3123
(562) 494-5060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40652
CA
305R00000X
Preferred Provider Organization
40652
CA

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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