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Individual
ETHAN CHUNG AN LEE
Active
Individual
ETHAN CHUNG AN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D 48688
CA
Other
Enumeration date
03/07/2007
Last updated
01/30/2015
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