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Organization

REBECCA LEE, D.D.S., A DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NANCY SCOTT (OFFICE MANAGER)
(818) 831-8252
Entity
Organization

Contact information

Practice address
11200 CORBIN AVE, SUITE 108, NORTHRIDGE, CA 91326-4120
(818) 831-8252
(818) 831-8255
Mailing address
11200 CORBIN AVE, SUITE 108, NORTHRIDGE, CA 91326-4120
(818) 831-8252
(818) 831-8255

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
46197
CA

Other

Enumeration date
12/27/2012
Last updated
12/27/2012
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