| David S. Lee, Dds., Inc., Dba Modern Dental | |
|
801 E Valley Blvd #205 San Gabriel CA 91776-3697 | |
| (626) 571-0251 | |
| (626) 571-0425 |
| Full Name | David S. Lee, Dds., Inc., Dba Modern Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 E Valley Blvd, San Gabriel, California |
| Authorized Official Name and Position | David Shihyung Lee (OWNER/DENTIST) |
| Authorized Official Contact | 6265710251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Lee, Dds., Inc., Dba Modern Dental 801 E Valley Blvd #205 San Gabriel CA 91776-3697 Ph: (626) 571-0251 | David S. Lee, Dds., Inc., Dba Modern Dental 801 E Valley Blvd #205 San Gabriel CA 91776-3697 Ph: (626) 571-0251 |
| NPI Number | 1417973058 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417973058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48494 (California) | Primary |
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