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General NPI Number Information
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NPI Number | 1871624387
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Entity Type | Organization
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Legal Business Name | HONG AND LEE DENTAL CORPORATION
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 E VALENCIA MESA DR SUITE 102
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City | FULLERTON
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State | CA
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Zip | 92835-3813
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Country | US
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Telephone | 714-992-5437
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Fax | 714-870-3085
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Provider Business Mailing Address
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Address Line | 100 E VALENCIA MESA DR SUITE 102
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City | FULLERTON
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State | CA
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Zip | 92835-3813
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Country | US
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Telephone | 714-992-5437
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Fax | 714-870-3085
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD S LEE
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Credential | DMD
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Telephone | 714-992-5437
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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 | 44807
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License Number State | CA
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