Organization
DENTAL SPA OF ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY LEE D.M.D. (OWNER)
(626) 859-2439
Entity
Organization
Contact information
Practice address
2291 N TUSTIN ST, ORANGE, CA 92865-3703
(714) 282-2525
(714) 282-2527
Mailing address
2291 N TUSTIN ST, ORANGE, CA 92865-3703
(714) 282-2525
(714) 282-2527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47114
CA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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