Organization
KIWOONG LEE DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIWOONG LEE D.D.S. (CHIEF OFFICER)
(714) 972-2801
Entity
Organization
Contact information
Practice address
1521 N BROADWAY, SANTA ANA, CA 92706-3906
(714) 972-2801
(714) 972-3107
Mailing address
1521 N BROADWAY, SANTA ANA, CA 92706-3906
(714) 972-2801
(714) 972-3107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46863
CA
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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