Dr Sung Y Lee Dmd A Professional Corporation
Dentist in Corona, CA. Organization (NPI-2).
NPI number1962074997
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1962074997
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Sung Y Lee Dmd A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Jul 9, 2021
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
828 W 6th StCorona, CA 92882-3237
Phone 951-736-0641
Mailing address
828 W 6th StCorona, CA 92882-3237
Phone 951-736-0641
Other practice locations
828 W 6th St
Corona, CA 92882-3237
Corona, CA 92882-3237
Phone 951-736-0641
Authorized official
Sung Young Lee
President
9517360641
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