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Organization

BADII LEE DENTAL CORPORATION, INC.

Active
Other names
Smile Wide
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL HARVEY LEE DDS, MBA (PRESIDENT)
(949) 596-8100
Entity
Organization

Contact information

Practice address
12828 HARBOR BLVD., SUITE 340, GARDEN GROVE, CA 92840-5833
(714) 530-9801
(714) 530-7824
Mailing address
19762MACARTHURBLVD., 100, IRVINE, CA 92612-8275
(949) 596-8100
(562) 424-9807

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56861
CA

Other

Enumeration date
02/04/2015
Last updated
11/08/2016
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