| Kim & Lee Dds Inc. | |
|
9009 Knott Ave Buena Park CA 90620-4169 | |
| (714) 252-5677 | |
| Not Available |
| Full Name | Kim & Lee Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 9009 Knott Ave, Buena Park, California |
| Authorized Official Name and Position | Linda Mee Young Lee (CEO/DENTIST) |
| Authorized Official Contact | 5033608886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim & Lee Dds Inc. 2046 Arts Ave Brea CA 92821-6161 Ph: (503) 360-8886 | Kim & Lee Dds Inc. 9009 Knott Ave Buena Park CA 90620-4169 Ph: (714) 252-5677 |
| NPI Number | 1558038513 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 7416347133 |
|---|---|
| Medicare Enrollment ID | O20211210001694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558038513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Daeuk D Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356827737 PECOS PAC ID: 8729313242 Enrollment ID: I20190703003063 |
| Provider Name | Linda Mee-young Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790214484 PECOS PAC ID: 0143610865 Enrollment ID: I20211220000818 |
| Provider Name | Sae Chan Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700245248 PECOS PAC ID: 8325439748 Enrollment ID: I20211220000902 |
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