Lee, Soo Nam

Lee, Soo Nam is an individual health care provider with primary practice located at 3818 N Peck Road Suite C, El Monte CA 91732-2260. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lee, Soo Nam can be contacted via phone (626) 350-0944.

Contact Information

Primary practice address
3818 N Peck Road Suite C El Monte CA 91732-2260
Phone: (626) 350-0944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27786 California

Profile Details

NPI number 1972514669
LBN Legal business name Lee, Soo Nam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972514669 NPPES
California Other B2778601 DENT-CAL PROGRAM

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