Organization
LEE MLK DENTAL GROUP, PC
Active
Other names
Alexander Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON K LEE DMD (OWNER)
(702) 614-1792
Entity
Organization
Contact information
Practice address
3896 N MARTIN LUTHER KING BLVD, N LAS VEGAS, NV 89032-6603
(702) 614-1792
(702) 933-0190
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
05/07/2015
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