Individual
DR. DANIEL K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(818) 309-8163
Mailing address
13055 MEADOWLARK AVE, GRANADA HILLS, CA 91344-1230
(818) 309-8163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS102706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDS102706
DENTAL BOARD OF CALIFORNIA DENTAL LICENSE
CA
Enumeration date
08/17/2018
Last updated
08/17/2018
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