Individual
ALEXANDER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15422 CRENSHAW BLVD, GARDENA, CA 90249-4524
(310) 352-3949
Mailing address
15422 CRENSHAW BLVD, GARDENA, CA 90249-4524
(415) 531-1813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GRADUATION 05/2017
CA
1223G0001X
General Practice Dentistry
102433
CA
Other
Enumeration date
04/03/2017
Last updated
02/09/2021
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