Individual
DR. BRIAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18832 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-7304
(714) 964-0036
Mailing address
18832 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-7304
(714) 964-0036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62182
CA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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