Provider Demographics
NPI:1922485416
Name:SANG LEE & DEUK OH DDS INC
Entity Type:Organization
Organization Name:SANG LEE & DEUK OH DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEUK
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-537-9380
Mailing Address - Street 1:9618 GARDEN GROVE BLVD
Mailing Address - Street 2:STE 208
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1563
Mailing Address - Country:US
Mailing Address - Phone:714-537-9380
Mailing Address - Fax:714-537-2593
Practice Address - Street 1:9618 GARDEN GROVE BLVD
Practice Address - Street 2:STE 208
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1563
Practice Address - Country:US
Practice Address - Phone:714-537-9380
Practice Address - Fax:714-537-2593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51120122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty