Organization
SEPI SHAFA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEPI LEE (PRESIDENT)
(714) 637-1600
Entity
Organization
Contact information
Practice address
1122 E LINCOLN AVE STE 209, ORANGE, CA 92865-1909
(714) 637-1600
Mailing address
1122 E LINCOLN AVE STE 209, ORANGE, CA 92865-1909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
04/26/2021
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