Individual
BRENDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-4802
(626) 337-3223
Mailing address
5508 HALIFAX RD, ARCADIA, CA 91007-8413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103058
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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