Organization
BADII LEE DENTAL CORPORATION, INC.
Active
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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