Individual
ROBERT JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3860 GRAND AVE, CHINO, CA 91710-5402
(909) 902-1180
Mailing address
2735 W 232ND ST, TORRANCE, CA 90505-3157
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS101152
CA
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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