Individual
DR. CHARLES J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14711 PRINCETON AVE STE 12, MOORPARK, CA 93021-1469
(805) 529-4821
(915) 744-5746
Mailing address
26893 BOUQUET CANYON RD # 152, SANTA CLARITA, CA 91350-3500
(310) 845-6705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105729
CA
122300000X
Dentist
28453
TX
1223D0004X
Dental Anesthesiology
Primary
2051
CA
1223G0001X
General Practice Dentistry
28453
TX
Other
Enumeration date
10/22/2012
Last updated
05/28/2025
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