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Organization
SANG EUN LEE DENTAL CORP
Active
Organization
SANG EUN LEE DENTAL CORP
Active
Other names
Wellness Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG EUN LEE D.D.S. (C.E.O)
(909) 851-7323
Entity
Organization
Contact information
Practice address
72724 TWENTYNINE PALMS HWY #102, TWENTYNINE PALMS, CA 92277
(760) 367-7645
Mailing address
72724 TWENTYNINE PALMS HWY #102, TWENTYNINE PALMS, CA 92277
(760) 367-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55451
CA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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