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General NPI Number Information
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NPI Number | 1558038513
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Entity Type | Organization
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Legal Business Name | KIM & LEE DDS INC.
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 9009 KNOTT AVE
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City | BUENA PARK
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State | CA
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Zip | 90620-4169
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Country | US
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Telephone | 714-252-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 2046 ARTS AVE
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City | BREA
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State | CA
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Zip | 92821-6161
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Country | US
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Telephone | 503-360-8886
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Fax |
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DR. LINDA MEE YOUNG LEE
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Credential | DDS
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Telephone | 503-360-8886
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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 |
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License Number State |
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