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General NPI Number Information
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NPI Number | 1386783736
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Entity Type | Individual
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Provider Name | GANNON KA LEE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 26800 CROWN VALLEY PKWY STE 405
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8022
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Country | US
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Telephone | 949-448-7667
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Fax | 949-586-6525
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Provider Business Mailing Address
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Address Line | 26800 CROWN VALLEY PKWY STE 405
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8022
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Country | US
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Telephone | 949-448-7667
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Fax | 949-586-6525
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 48629
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License Number State | CA
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