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Individual

DR. BYONG-HWI LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
2650 S BRISTOL ST, SUITE107, SANTA ANA, CA 92704-5751
(714) 213-0958
Mailing address
4200 VIA ARBOLADA UNIT 313, LOS ANGELES, CA 90042-5073
(714) 213-0958

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57388
CA
1223G0001X
General Practice Dentistry
DD3092
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13570072
NM
01
9218384
DENTAQUEST
NM
Enumeration date
12/23/2008
Last updated
11/25/2013
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