Individual
GARY D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3487 CENTRAL AVE, RIVERSIDE, CA 92506
(951) 369-1001
(951) 369-1007
Mailing address
3487 CENTRAL AVE, RIVERSIDE, CA 92506
(951) 369-1001
(951) 369-1001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26459
CA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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