Organization
BADII LEE DENTAL CORPORATION, INC.
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL HARVEY LEE DDS, MBA (PRESIDENT)
(949) 596-8100
Entity
Organization
Contact information
Practice address
17660 LAKEWOOD BLVD, BELLFLOWER, CA 90706-6410
(562) 461-1180
(562) 804-0863
Mailing address
19762 MACARTHUR BLVD., 100, IRVINE, CA 92612-8275
(949) 596-8100
(562) 424-9807
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CA
Other
Enumeration date
02/04/2015
Last updated
11/08/2016
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