Organization
DAE WON LEE DDS INC
Active
Other names
Beaumont Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CERVANTES (REGIONAL MANAGER)
(760) 617-9639
Entity
Organization
Contact information
Practice address
930 BEAUMONT AVE, BEAUMONT, CA 92223
(951) 845-2200
Mailing address
930 BEAUMONT AVE, BEAUMONT, CA 92223-1831
(951) 845-2200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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