Grand Lake Dental

LBN: Wonjoo Lee, Dds, Inc.
Grand Lake Dental is an health care organization with primary practice located at 3540 Grand Ave Suite 100, Oakland CA 94610-2010. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Wonjoo Lee, Dds, Inc. can be contacted via phone (510) 208-3012, or through Lee, Wonjoo via phone (510) 208-3012.

Contact Information

Primary practice address
3540 Grand Ave Suite 100 Oakland CA 94610-2010
Phone: (510) 208-3012
Fax: (510) 208-4524
Website:
Map and Directions
Authorized official contact:
Name: Lee, Wonjoo
Phone: (510) 208-3012

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 49923 California

Profile Details

NPI number 1508137142
LBN Legal business name Wonjoo Lee, Dds, Inc.
DBA Doing business as Grand Lake Dental
Authorized official Lee, Wonjoo
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 12 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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