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Individual

COLLIN KYONGMIN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 E WASHINGTON BLVD STE 112, LOS ANGELES, CA 90021-3070
(213) 973-5180
Mailing address
1717 SOLEJAR DR, LA HABRA HEIGHTS, CA 90631-8686

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104271
CA

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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