Individual
CLAIRE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 FRANCES CIR, BUENA PARK, CA 90621-5001
(510) 967-1085
Mailing address
52 FRANCES CIR, BUENA PARK, CA 90621-5001
(510) 967-1085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58988
CA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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