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Individual

DR. DEBORAH ANNIE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
17781 SANTIAGO BLVD, VILLA PARK, CA 92861-4134
(714) 974-9000
Mailing address
17781 SANTIAGO BLVD, VILLA PARK, CA 92861-4134

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS104672
CA

Other

Enumeration date
03/13/2021
Last updated
02/07/2022
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