Organization
PB LEE DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LEE DDS MS (PRESIDENT)
(323) 255-0193
Entity
Organization
Contact information
Practice address
4867 EAGLE ROCK BLVD STE B, LOS ANGELES, CA 90041-2649
(323) 255-0193
(323) 999-6747
Mailing address
4867 EAGLE ROCK BLVD STE B, LOS ANGELES, CA 90041-2649
(323) 255-0193
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
03/23/2022
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