Individual
DR. VIVIAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
41253 12TH ST W STE C, PALMDALE, CA 93551-1413
(661) 225-9964
Mailing address
3540 WILSHIRE BLVD APT 312, LOS ANGELES, CA 90010-3935
(206) 375-9287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100782
CA
1223P0221X
Pediatric Dentistry
Primary
100782
CA
Other
Enumeration date
10/14/2016
Last updated
02/06/2026
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