Lee, Mi Da
Lee, Mi Da is an sole proprietor health care provider with primary practice located at 56969 Yucca Trl Ste C , Yucca Valley CA 92284-3797. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Lee, Mi Da can be contacted via phone (760) 228-1733.Contact Information
Primary practice address
56969 Yucca Trl Ste C
Yucca Valley CA 92284-3797
Phone: (760) 228-1733
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 106798 | California |
Dental Providers / Dentist | 122300000X | 106798 | California |
Profile Details
NPI number | 1417622457 |
---|---|
LBN Legal business name | Lee, Mi Da |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 11th, 2021 |
Last updated | Sep 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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