Organization
SHIRLEY LEE DDS INC
Active
Other names
Humanity Dental Huntington Beach
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY LEE DDS (OWNER)
(714) 871-3900
Entity
Organization
Contact information
Practice address
18900 BEACH BLVD STE 107, HUNTINGTON BEACH, CA 92648-8010
(714) 964-1992
Mailing address
3090 BRISTOL ST FL 4, COSTA MESA, CA 92626-3079
(714) 964-1992
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46096
DENTAL
CA
Enumeration date
01/13/2022
Last updated
01/13/2022
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