Organization
BADII LEE DENTAL CORPORATION, INC.
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARVEY LEE DDS, MBA (PRESIDENT)
(949) 596-8100
Entity
Organization
Contact information
Practice address
1111 W 6TH STREET, SUITE 120, LOS ANGELES, CA 90017-1823
(213) 895-0009
(213) 895-0012
Mailing address
19762 MACARTHUR BLVD., 100, IRVINE, CA 92612-8275
(949) 596-8100
(562) 424-9807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56861
CA
Other
Enumeration date
02/04/2015
Last updated
11/08/2016
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