# DENTAL SPA OF ORANGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770989782
- **Authorized official:** DR. DANNY LEE D.M.D. (OWNER)
- **Authorized official phone:** (626) 859-2439

## Contact information

- **Practice address:** 2291 N TUSTIN ST, ORANGE, CA 92865-3703
- **Practice address phone:** (714) 282-2525
- **Practice address fax:** (714) 282-2527
- **Mailing address:** 2291 N TUSTIN ST, ORANGE, CA 92865-3703
- **Mailing address phone:** (714) 282-2525
- **Mailing address fax:** (714) 282-2527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 47114 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 11/18/2014