Individual
MIDO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H. A.P
Contact information
Practice address
53 TRADITION LN, RANCHO SANTA MARGARITA, CA 92688-5572
(619) 871-4457
Mailing address
53 TRADITION LN, RANCHO SANTA MARGARITA, CA 92688-5572
(619) 871-4457
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23802
CA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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