Organization
SAMUEL LEE DMD INC.
Active
Other names
Imprint Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LEE DMD (CHIEF EXECUTIVE OFFICER)
(626) 657-8546
Entity
Organization
Contact information
Practice address
56 E DUARTE RD UNIT 103, ARCADIA, CA 91006-3511
(626) 657-8546
Mailing address
713 W DUARTE RD UNIT G524, ARCADIA, CA 91007-7564
(626) 657-8546
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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