Individual
DANIEL SANG-JOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19527 ROSITA ST, TARZANA, CA 91356-4922
(818) 314-5980
Mailing address
19527 ROSITA ST, TARZANA, CA 91356-4922
(818) 314-5980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64679
CA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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