Organization
BAAG, LEE & CHUNG DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN HO LEE DMD (PRESIDENT)
(323) 737-1001
Entity
Organization
Contact information
Practice address
3224 W OLYMPIC BLVD # 201, LOS ANGELES, CA 90006-2317
(323) 737-1001
Mailing address
3224 W OLYMPIC BLVD # 201, LOS ANGELES, CA 90006-2317
(323) 737-1001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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