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General NPI Number Information
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NPI Number | 1477070928
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Entity Type | Individual
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Provider Name | DAVID D LEE DMD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1928 HUNTINGTON DR
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-4874
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Country | US
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Telephone | 626-441-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1174 N VOYAGER LN
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City | ANAHEIM
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State | CA
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Zip | 92801-1795
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Country | US
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Telephone | 562-667-6593
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 33965
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 108621
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7001
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License Number State | OK
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