Individual
DR. DONGGEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 N NORMA ST, RIDGECREST, CA 93555-3157
(800) 377-6697
Mailing address
48 LOWLAND, IRVINE, CA 92602-0837
(213) 800-1228
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
101355
CA
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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