Organization
BADII LEE DENTAL CORPORATION, INC.
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL HARVEY LEE DDS, MBA (PRESIDENT)
(949) 596-8100
Entity
Organization
Contact information
Practice address
14600 SHERMAN WAY, SUITE 100B, VAN NUYS, CA 91405-5867
(818) 756-6950
(818) 994-0841
Mailing address
19762 MACARTHUR BLVD., 100, IRVINE, CA 92612-8275
(949) 596-8100
(562) 424-9807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56861
CA
Other
Enumeration date
02/04/2015
Last updated
11/08/2016
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