Individual
HEEJOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3460 WILSHIRE BLVD STE 1007, LOS ANGELES, CA 90010-2232
(213) 365-0200
(213) 365-6119
Mailing address
3460 WILSHIRE BLVD STE 1007, LOS ANGELES, CA 90010-2232
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
36571
CA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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