| Dae Won Lee Dds Inc | |
| 
					930 Beaumont Ave Beaumont CA 92223  | |
| (951) 845-2200 | |
| Not Available | 
| Full Name | Dae Won Lee Dds Inc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 930 Beaumont Ave, Beaumont, California | 
| Authorized Official Name and Position | Stephanie Cervantes (REGIONAL MANAGER) | 
| Authorized Official Contact | 7606179639 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dae Won Lee Dds Inc 930 Beaumont Ave Beaumont CA 92223-1831 Ph: (951) 845-2200  | Dae Won Lee Dds Inc 930 Beaumont Ave Beaumont CA 92223 Ph: (951) 845-2200  | 
| NPI Number | 1346767514 | 
|---|---|
| Provider Enumeration Date | 08/28/2017 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346767514 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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