Organization · Type 2 NPI
Soonki Lee DDS PC
Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA
NPI number
1033618681
Active
Practice location
3030 W Olympic Blvd Ste 216
Los Angeles, CA 90006-6507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DDS62164 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1033618681
Soonki Lee DDS PC's National Provider Identifier is 1033618681, issued on Feb 9, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 13, 2018.