Individual
DR. DAVID DOO-SANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1745 W KETTLEMAN LN, LODI, CA 95242-9287
(718) 640-4317
Mailing address
9953 W TARON DR, ELK GROVE, CA 95757-8160
(718) 640-4317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054819
NY
1223G0001X
General Practice Dentistry
010241
CT
1223G0001X
General Practice Dentistry
Primary
DDS101014
CA
Other
Enumeration date
03/20/2010
Last updated
12/13/2016
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