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Organization
LEE,N.GRACE DDS,INC
Active
Organization
LEE,N.GRACE DDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANJOO LEE (CEO)
(209) 552-9158
Entity
Organization
Contact information
Practice address
7743 WEST LN, SUITE C5, STOCKTON, CA 95210-3348
(209) 474-1101
(209) 474-9734
Mailing address
7743 WEST LN, SUITE C5, STOCKTON, CA 95210-3348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47930
CA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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