Children'S Dental Surgery Center, A Dental Practice Of Drs. Lee And Mu
Dentist, Pediatric Dentistry in Santa Ana, CA. Organization (NPI-2).
NPI number1750505202
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750505202
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Dental Surgery Center, A Dental Practice Of Drs. Lee And Mu
- Organization subpart
- No
- Enumeration date
- Apr 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 44807 | CA | Yes |
Practice location
1610 W Edinger AveSuite C
Santa Ana, CA 92704-4339
Phone 714-432-7337
Mailing address
1610 W Edinger AveSuite C
Santa Ana, CA 92704-4339
Authorized official
Richard Lee
Dental Director
7144327337
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