# ALEXANDER LEE DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265291249
- **Authorized official:** GLADYS G MAGALLON (SENIOR BILLING COORDINATOR)
- **Authorized official phone:** (661) 299-2525

## Contact information

- **Practice address:** 18635 SOLEDAD CANYON RD STE 108, CANYON COUNTRY, CA 91351-3723
- **Practice address phone:** (661) 299-2525
- **Practice address fax:** (661) 299-2525
- **Mailing address:** PO BOX 1847, CANYON COUNTRY, CA 91386-1847
- **Mailing address phone:** (661) 299-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 03/13/2024