Organization
AHN, LEE AND PARK DENTAL GROUP, INC
Active
Other names
blessed Smile dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SOOJI H LEE DDS (DIRECTOR)
(818) 279-1634
Entity
Organization
Contact information
Practice address
1155 S DIAMOND BAR BLVD STE D, DIAMOND BAR, CA 91765-2235
(818) 279-1634
Mailing address
1155 S DIAMOND BAR BLVD STE D, DIAMOND BAR, CA 91765-2235
(818) 279-1634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
41978
CA
122300000X
Dentist
46233
CA
122300000X
Dentist
Primary
54619
CA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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