Individual
DANIEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
391 S STATE COLLEGE BLVD STE M, BREA, CA 92821-5755
(714) 883-6367
Mailing address
391 S STATE COLLEGE BLVD STE M, BREA, CA 92821-5755
(714) 883-6367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102878
CA
Other
Enumeration date
07/26/2018
Last updated
06/17/2022
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