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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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