Organization
CHIHYUNGLEE,DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED CHIHYUNG LEE DDS (OWNER)
(909) 396-5059
Entity
Organization
Contact information
Practice address
2125 S BREA CANYON RD, DIAMOND BAR, CA 91765-4019
(909) 396-5059
(909) 396-1929
Mailing address
2125 S BREA CANYON RD, DIAMOND BAR, CA 91765-4019
(909) 396-5059
(909) 396-1929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41638
CA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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