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Organization

JOON HEE LEE DMD DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOON HEE LEE DMD (PRESIDENT)
(617) 800-7741
Entity
Organization

Contact information

Practice address
790 E WILLOW ST STE 250, LONG BEACH, CA 90806-2720
(562) 349-0666
(562) 349-0667
Mailing address
790 E WILLOW ST, LONG BEACH, CA 90806-2703

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63904
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710388715
CA
Enumeration date
09/08/2017
Last updated
08/15/2022
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