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Organization

JAE YONG LEE DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAE YONG LEE D.D.S. (PRESIDENT)
(213) 210-3291
Entity
Organization

Contact information

Practice address
4924 CARMEL RD, LA CANADA, CA 91011-2711
(213) 210-3291
Mailing address
4924 CARMEL RD, LA CANADA, CA 91011-2711
(213) 210-3291

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47932
CA

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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