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General NPI Number Information
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NPI Number | 1598229635
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Entity Type | Organization
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Legal Business Name | ESTHER KIM LEE DMD INC.
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 1019 N HARBOR BLVD
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City | FULLERTON
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State | CA
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Zip | 92832-1310
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Country | US
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Telephone | 714-784-0844
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 N ACACIA AVE
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City | FULLERTON
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State | CA
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Zip | 92831-1259
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Country | US
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Telephone | 714-747-8400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ESTHER KIM LEE
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Credential | DMD
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Telephone | 714-747-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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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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