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Organization
KI LEE DENTAL CORP.
Active
Organization
KI LEE DENTAL CORP.
Active
Parent organization
KI BAEK LEE DDS INC
Other names
Ki Lee Dental Corp., Ki Baek Lee DDS, K-Smile Dentall
Organization subpart
Yes
Provider details
NPI number
Legal business name
KI BAEK LEE DDS INC
Authorized official
KI BAEK LEE DDS (DENTIST)
(323) 880-3704
Entity
Organization
Contact information
Practice address
11900 SOUTH ST STE 122, CERRITOS, CA 90703-6800
(562) 809-6177
(562) 809-7659
Mailing address
11900 SOUTH ST STE 122, CERRITOS, CA 90703-6800
(562) 809-6177
(562) 809-7659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508373002
—
CA
Enumeration date
06/29/2023
Last updated
07/05/2023
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