Ethan C.A. Lee Dental Inc.

LBN: Ethan C.A. Lee Dental Inc.
Ethan C.A. Lee Dental Inc. is an health care organization with primary practice located at 314 W. Valley Blvd , San Gabriel CA 91776. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Ethan C.A. Lee Dental Inc. can be contacted via phone (626) 458-3410, or through Lee, Ethan C.A. via phone (626) 458-3410.

Contact Information

Primary practice address
314 W. Valley Blvd San Gabriel CA 91776
Phone: (626) 458-3410
Fax: (626) 458-3411
Website:
Map and Directions
Authorized official contact:
Name: Lee, Ethan C.A. Doctor of Dental Surgery (DDS)
Phone: (626) 458-3410

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 48688 California
Dental Providers / General Practice 1223G0001X 48595 California

Profile Details

NPI number 1477044345
LBN Legal business name Ethan C.A. Lee Dental Inc.
DBA Doing business as
Authorized official Lee, Ethan C.A. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2018
Last updated May 25th, 2018 - about 8 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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