| Joon Hee Lee Dmd A Professional Corp. | |
|
9547 1/2 Telegraph Road Pico Rivera CA 90660 | |
| (562) 222-3396 | |
| (562) 222-3842 |
| Full Name | Joon Hee Lee Dmd A Professional Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9547 1/2 Telegraph Road, Pico Rivera, California |
| Authorized Official Name and Position | Joon Hee Lee (PRESIDENT) |
| Authorized Official Contact | 5622223396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joon Hee Lee Dmd A Professional Corp. 9547 1/2 Telegraph Road Pico Rivera CA 90660 Ph: (562) 222-3396 | Joon Hee Lee Dmd A Professional Corp. 9547 1/2 Telegraph Road Pico Rivera CA 90660 Ph: (562) 222-3396 |
| NPI Number | 1588392005 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588392005 | NPI | - | NPPES |
| 1710388715 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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