Organization
DAVID S. LEE, DDS., INC., DBA MODERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SHIHYUNG LEE D.D.S. (OWNER/DENTIST)
(626) 571-0251
Entity
Organization
Contact information
Practice address
801 E VALLEY BLVD, #205, SAN GABRIEL, CA 91776-3697
(626) 571-0251
(626) 571-0425
Mailing address
801 E VALLEY BLVD, #205, SAN GABRIEL, CA 91776-3697
(626) 571-0251
(626) 571-0425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48494
CA
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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