Organization
BADII LEE DENTAL CORPORATION, INC
Active
Parent organization
DR. HARVEY LEE
Other names
Smile Wide
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. HARVEY LEE
Authorized official
KIAVASH KEVIN BADII DDS (PRESIDENT)
(714) 835-2383
Entity
Organization
Contact information
Practice address
4980 BARRANCA PKWY, SUITE 101, IRVINE, CA 92604-8645
(949) 733-3433
(949) 733-3437
Mailing address
4980 BARRANCA PKWY, SUITE 101, IRVINE, CA 92604-8645
(949) 733-3433
(949) 733-3437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
56861
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
04/13/2015
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