Provider Demographics
NPI:1790989614
Name:DANIEL I. LEE , INC.
Entity Type:Organization
Organization Name:DANIEL I. LEE , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:INYOUNG
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-393-5456
Mailing Address - Street 1:4200 CHINO HILLS PKWY
Mailing Address - Street 2:SUITE 880
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3776
Mailing Address - Country:US
Mailing Address - Phone:909-393-5456
Mailing Address - Fax:909-393-2051
Practice Address - Street 1:4200 CHINO HILLS PKWY
Practice Address - Street 2:SUITE 880
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3776
Practice Address - Country:US
Practice Address - Phone:909-393-5456
Practice Address - Fax:909-393-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental