MEDICARE: DR. KENNETH K LEE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	40652	CA

General Provider Information

NPI Number	:	1417905233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH K LEE D.D.S.

Provider Business Mailing Address
First Line	:	4755 E ANAHEIM ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3123
Country	:	US
Telephone Number	:	562-494-5060
Fax Number	:	562-498-5720

Provider Business Practice Location Address
First Line	:	4755 E ANAHEIM ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3123
Country	:	US
Telephone Number	:	562-494-5060
Fax Number	:	562-498-5720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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