Organization
MOA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONGWOOK LEE DDS (PRESIDENT)
(310) 530-2875
Entity
Organization
Contact information
Practice address
3226 SEPULVEDA BLVD, TORRANCE, CA 90505-2719
(310) 530-2875
(310) 891-2828
Mailing address
3226 SEPULVEDA BLVD, TORRANCE, CA 90505-2719
(310) 530-2875
(310) 891-2828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53714
CA
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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