| Joohak Lee DDS Inc | |
|
4940 Irvine Blvd Ste 107 Irvine CA 92620-1960 | |
| (310) 936-0831 | |
| Not Available |
| Full Name | Joohak Lee DDS Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4940 Irvine Blvd Ste 107, Irvine, California |
| Authorized Official Name and Position | Peter Lee (PRESIDENT) |
| Authorized Official Contact | 3109360831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joohak Lee DDS Inc 4940 Irvine Blvd Ste 107 Irvine CA 92620-1960 Ph: (310) 936-0831 | Joohak Lee DDS Inc 4940 Irvine Blvd Ste 107 Irvine CA 92620-1960 Ph: (310) 936-0831 |
| NPI Number | 1659090413 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659090413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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