Organization
IADI, INC
Active
Other names
International Academy of Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LEE DDS, DMSC (PRESIDENT)
(858) 229-9869
Entity
Organization
Contact information
Practice address
440 S MELROSE DR STE 100, VISTA, CA 92081-6666
(858) 229-9869
Mailing address
440 S MELROSE DR STE 100, VISTA, CA 92081-6666
(858) 229-9869
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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