Organization
LEE PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEE DDS (OWNER)
(310) 208-7727
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD STE 812, LOS ANGELES, CA 90024-4003
(310) 208-7727
(310) 208-8866
Mailing address
10921 WILSHIRE BLVD STE 812, LOS ANGELES, CA 90024-4003
(310) 208-7727
(310) 208-8866
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
39976
CA
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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