Brandon W Lee Dds Pc

LBN: Brandon W Lee Dds Pc
Brandon W Lee Dds Pc is an health care organization with primary practice located at 4444 W Northern Ave Suite A3, Glendale AZ 85301. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Brandon W Lee Dds Pc can be contacted via phone (623) 842-1075, or through Lee, Wonseok via phone (623) 842-1075.

Contact Information

Primary practice address
4444 W Northern Ave Suite A3 Glendale AZ 85301
Phone: (623) 842-1075
Fax: (623) 931-5881
Website:
Map and Directions
Authorized official contact:
Name: Lee, Wonseok Doctor of Dental Surgery (DDS)
Phone: (623) 842-1075

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4338 Arizona

Profile Details

NPI number 1124174602
LBN Legal business name Brandon W Lee Dds Pc
DBA Doing business as
Authorized official Lee, Wonseok Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124174602 NPPES
Arizona Other 135229 AHCCCS
Arizona Other 533689 AHCCCS
Arizona Other 197338 AHCCCS
Arizona Other AZ0489860 AHCCCS

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