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NPI Code Detail

MEDICARE: HOWARD LEE DMD INC

MEDICARE: HOWARD LEE DMD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center56363CA

General Provider Information

NPI Number : 1801146873
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWARD LEE DMD INC
Provider Business Mailing Address
First Line : 6330 E SPRING ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1424
Country : US
Telephone Number : 562-421-9439
Fax Number :
Provider Business Practice Location Address
First Line : 6330 E SPRING ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1424
Country : US
Telephone Number : 562-421-9439
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. HOWARD LEE
Credential : DMD
Telephone Number : 562-421-9439
Provider Enumeration Date : 09/17/2012
Last Update Date : 09/17/2012

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