Organization
BEOM MO LEE DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEOM MO LEE (OWNER)
(323) 734-3710
Entity
Organization
Contact information
Practice address
966 S WESTERN AVE, 207, LOS ANGELES, CA 90006-1013
(323) 734-2117
Mailing address
966 S WESTERN AVE, 207, LOS ANGELES, CA 90006-1013
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
46284
CA
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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