Organization
DR SAMUEL LEE DENTAL CORP
Active
Other names
International Academy of Dental Implant
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S LEE DDS DMSC (PRESIDENT)
(714) 718-3446
Entity
Organization
Contact information
Practice address
6727 FLANDERS DR STE 220, SAN DIEGO, CA 92121-2926
(858) 229-9869
Mailing address
6727 FLANDERS DRIVE #220, SAN DIEGO, CA 92121
(858) 229-9869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58462
CA
1223P0300X
Periodontics
Primary
51353
CA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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