| Gundong Lee Dental Corporation | |
|
16106 Bellflower Blvd Bellflower CA 90706-4606 | |
| (562) 920-9220 | |
| Not Available |
| Full Name | Gundong Lee Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16106 Bellflower Blvd, Bellflower, California |
| Authorized Official Name and Position | Gundong Lee (CEO) |
| Authorized Official Contact | 9098001994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundong Lee Dental Corporation 16106 Bellflower Blvd Bellflower CA 90706-4606 Ph: (562) 920-9220 | Gundong Lee Dental Corporation 16106 Bellflower Blvd Bellflower CA 90706-4606 Ph: (562) 920-9220 |
| NPI Number | 1396308276 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396308276 | NPI | - | NPPES |
| 65092 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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