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General NPI Number Information
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NPI Number | 1134662760
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Entity Type | Organization
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Legal Business Name | WONJOON LEE, DDS, INC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 8617 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-3003
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Country | US
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Telephone | 323-484-9599
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Fax |
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Provider Business Mailing Address
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Address Line | 8617 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-3003
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Country | US
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Telephone | 323-484-9599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WONJOON LEE
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Credential | DDS
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Telephone | 323-484-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 64812
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License Number State | CA
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