Organization
DAVID BO LEE, DDS, INC.
Active
Other names
David B. Lee Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BO LEE D.D.S. (PRESIDENT)
(714) 525-1130
Entity
Organization
Contact information
Practice address
942 W ORANGETHORPE AVE, FULLERTON, CA 92832-2827
(714) 525-1130
(714) 525-1415
Mailing address
942 W ORANGETHORPE AVE, FULLERTON, CA 92832-2827
(714) 525-1130
(714) 525-1415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B46196-01
DELTA DENTAL HEALTHY FAMILY
CA
01
—
G93421-01
MEDI-CAL PROVIDER #
CA
Enumeration date
01/06/2010
Last updated
01/06/2010
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