Individual
CHANGWOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3129 N SAN FERNANDO RD, LOS ANGELES, CA 90065-1412
(323) 257-7744
(323) 257-5430
Mailing address
3129 N SAN FERNANDO RD, LOS ANGELES, CA 90065-1412
(323) 257-7744
(323) 257-5430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110111
CA
Other
Enumeration date
10/23/2024
Last updated
03/02/2026
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