Individual
DR. GERALD J LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 ZONAL AVE # 5P-77, LOS ANGELES, CA 90033-1026
(323) 409-3640
Mailing address
PO BOX 60333, IRVINE, CA 92602-6011
(951) 901-8333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
62353
CA
Other
Enumeration date
06/04/2013
Last updated
04/01/2019
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