Daisy Kwak-Lee, a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAISY KWAK-LEE, A PROFESSIONAL DENTAL CORPORATION

Practice address

1110 E Chapman Ave Ste 102
Orange, CA 92866-2145

Phone

(714) 532-0888

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Daisy Kwak-Lee, DDS

Title

Owner/Dentist

Phone

(949) 870-8311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1831890599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE STE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE STE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662145",
            "telephone_number": "714-532-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY KWAK-LEE, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "KWAK-LEE",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "949-870-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dagny Zhu Luong M D Inc
• Brittney Anne Dahlen, CRNA
• Jenny Qian Dai-Ju, M.D.
• Aiping Dai, NP
• Jeff Dai, PHARMD
• Fereshteh Dalavarian, PH.D.
• Diane Leigh Dale
• Timothy E Daley, PT
• Steven Ray Dalrymple
• Megan Eileen Daly, M.D.

• Dental Clinic/Center in Orange, CA
• Providers in Orange, 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 Mar 10, 2023; 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.