Organization
ALEXANDER LEE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS G MAGALLON (SENIOR BILLING COORDINATOR)
(661) 299-2525
Entity
Organization
Contact information
Practice address
18635 SOLEDAD CANYON RD STE 108, CANYON COUNTRY, CA 91351-3723
(661) 299-2525
(661) 299-2525
Mailing address
PO BOX 1847, CANYON COUNTRY, CA 91386-1847
(661) 299-2525
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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