| Eun Soo Lee Dental Group, Inc. | |
|
902 E 1st St Santa Ana CA 92701-5365 | |
| (714) 835-5921 | |
| Not Available |
| Full Name | Eun Soo Lee Dental Group, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 902 E 1st St, Santa Ana, California |
| Authorized Official Name and Position | Eun Soo Lee (C.E.O) |
| Authorized Official Contact | 7148355921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eun Soo Lee Dental Group, Inc. 902 E 1st St Santa Ana CA 92701-5365 Ph: (714) 835-5921 | Eun Soo Lee Dental Group, Inc. 902 E 1st St Santa Ana CA 92701-5365 Ph: (714) 835-5921 |
| NPI Number | 1699341339 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699341339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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