Provider Demographics
NPI:1679751697
Name:KANG AND LEE DENTISTRY, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:KANG AND LEE DENTISTRY, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-854-6060
Mailing Address - Street 1:18431 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-5815
Mailing Address - Country:US
Mailing Address - Phone:626-854-6060
Mailing Address - Fax:626-854-6062
Practice Address - Street 1:18431 COLIMA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5815
Practice Address - Country:US
Practice Address - Phone:626-854-6060
Practice Address - Fax:626-854-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty