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General NPI Number Information
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NPI Number | 1316445513
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Entity Type | Organization
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Legal Business Name | DH LEE DDS INC
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 4840 IRVINE BLVD STE 106
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City | IRVINE
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State | CA
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Zip | 92620-1962
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Country | US
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Telephone | 949-885-9300
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Fax | 949-885-9299
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Provider Business Mailing Address
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Address Line | 4840 IRVINE BLVD STE 106
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City | IRVINE
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State | CA
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Zip | 92620-1962
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Country | US
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Telephone | 949-885-9300
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Fax | 949-885-9299
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Authorized Official
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Title or Position | PRESIDENT & CHIEF OF PEDIATRIC DENT
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Name | DR. DANIEL HARVEY LEE
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Credential | DDS, MBA
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Telephone | 949-885-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | CA
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