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Organization
LEE & PAIK, DDS., INC
Active
Organization
LEE & PAIK, DDS., INC
Active
Other names
Lakeside Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG C PAIK DDS (PRESIDENT/ OWNER/DENTIST)
(951) 924-9494
Entity
Organization
Contact information
Practice address
25920 IRIS AVE STE 14A, MORENO VALLEY, CA 92551-1658
(951) 924-9494
(951) 924-9450
Mailing address
25920 IRIS AVE STE 14A, MORENO VALLEY, CA 92551-1658
(951) 924-9494
(951) 924-9450
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CA41861
CA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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