Individual
BRIAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9432 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
(949) 798-9591
Mailing address
9432 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
(949) 798-9591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60173
CA
Other
Enumeration date
02/16/2011
Last updated
07/25/2014
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