Organization
BADII LEE DENTAL CORPORATION, INC.
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARVEY LEE DDS (PRESIDENT)
(949) 596-8100
Entity
Organization
Contact information
Practice address
172 E CARSON ST, CARSON, CA 90745-2702
(310) 618-1522
(310) 618-9272
Mailing address
19762 MACARTHUR BLVD, 100, IRVINE, CA 92612-2424
(949) 596-8100
(562) 424-9807
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56861
CA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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