| Gun Gil Lee, Dds, Inc. | |
| 
					66450 Pierson Blvd Desert Hot Springs CA 92240  | |
| (760) 329-2191 | |
| (760) 329-3581 | 
| Full Name | Gun Gil Lee, Dds, Inc. | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 66450 Pierson Blvd, Desert Hot Springs, California | 
| Authorized Official Name and Position | Gun Gil Lee (PRESIDENT) | 
| Authorized Official Contact | 7147070167 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gun Gil Lee, Dds, Inc. 66450 Pierson Blvd Desert Hot Springs CA 92240-3672 Ph: (760) 329-2191  | Gun Gil Lee, Dds, Inc. 66450 Pierson Blvd Desert Hot Springs CA 92240 Ph: (760) 329-2191  | 
| NPI Number | 1205354354 | 
|---|---|
| Provider Enumeration Date | 09/08/2017 | 
| Last Update Date | 05/24/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205354354 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64694 (California) | Primary | 
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