Individual
DR. MICHAEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23185 HEMLOCK AVE, UNIT E1, MORENO VALLEY, CA 92557-8043
(951) 571-8369
Mailing address
23185 HEMLOCK AVE, UNIT E1, MORENO VALLEY, CA 92557-8043
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS101139
CA
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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