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Dr. Sungho Lee, dds

Dentist, General Practice in Barstow, CA. Individual provider (NPI-1).

NPI number1982625711
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1982625711
Entity type
Individual (NPI-1)
Name
Dr. Sungho Lee
Credential
dds
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice52751CAYes

Practice location

570 E Virginia Way
Barstow, CA 92311-3910

Phone 760-255-1010

Mailing address

26087 Mission Rd
Loma Linda, CA 92354-6506

Phone 909-799-3682

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Other General Practice Dentistry providers in Barstow, CA

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