Eun Soo Lee Dental Group, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EUN SOO LEE DENTAL GROUP, INC.

Practice address

902 E 1St St
Santa Ana, CA 92701-5365

Phone

(714) 835-5921

NPI assigned

Jun 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eun Soo Lee, DDSNPI 1235654096

Title

C.E.O

Phone

(714) 835-5921

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eun Soo Lee, DDS

  • General Practice Dentistry
  • Norwalk, CA
  • NPI 1235654096
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1699341339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015365",
            "telephone_number": "714-835-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015365",
            "telephone_number": "714-835-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUN SOO LEE DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUN SOO",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "714-835-5921",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arnel Tapia Eugenio, D.D.S.
• Corinne Eugenio
• Jeronimo Abalos Evalle
• Evaluation & Treatment Services
• Evaluation and Treatment Services
• Evan Georgieff, DDS, Inc.
• Domel Briones Evangelista

• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.