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1386783736
GANNON KA LEE
MISSION VIEJO, CA
NPI
1386783736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 48629)
Enumeration Date
2007-02-05
Last Update Date
2015-07-21
Business Address
Dr. GANNON KA LEE D.D.S.
26302 LA PAZ RD SUITE 210
MISSION VIEJO, CA 92691-5313
Phone number: 949-380-0315
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Mailing Address
Dr. GANNON KA LEE D.D.S.
26302 LA PAZ RD SUITE 210
MISSION VIEJO, CA 92691-5313
Phone number: 949-380-0315
Copy
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