Individual
CHANG RYUL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2805 S SAN PEDRO ST, LOS ANGELES, CA 90011-2023
(323) 846-8443
Mailing address
953 ELDEN AVE APT 113, LOS ANGELES, CA 90006-5795
(213) 235-7853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105258
CA
Other
Enumeration date
08/17/2020
Last updated
08/26/2020
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