Individual
DR. PAUL CHONG CHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
933 S SUNSET AVE STE 208, WEST COVINA, CA 91790-3410
(626) 600-6080
Mailing address
1111 S GRAND AVE APT 706, LOS ANGELES, CA 90015-2169
(661) 993-7347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039221
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61057
CA
Other
Enumeration date
09/10/2012
Last updated
10/04/2017
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