Individual
KIHO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10833 LE CONTE AVE, CHS 20-140, LOS ANGELES, CA 90095-1668
(310) 825-4705
Mailing address
10833 LE CONTE AVE, CHS 20-140, LOS ANGELES, CA 90095-1668
(310) 825-4705
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60785
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
WADE6014957
WA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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