Individual
CHANG HYUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1246 S HIGHWAY 377 STE 500, PILOT POINT, TX 76258-4378
(940) 686-2201
Mailing address
303 S GLENOAKS BLVD, BURBANK, CA 91502-1319
(818) 846-2854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
107400
CA
1223G0001X
General Practice Dentistry
Primary
38327
TX
Other
Enumeration date
04/02/2020
Last updated
01/25/2025
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