Individual
DR. ALAN LEE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
615 HARRIS ST, EUREKA, CA 95503-4447
(707) 442-1754
(707) 442-1755
Mailing address
16 36TH PL UNIT A, LONG BEACH, CA 90803-2635
(707) 834-4017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24852
DENTAL LICSENS
CA
Enumeration date
01/25/2007
Last updated
06/25/2013
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