Organization
BRIAN S. LEE, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S LEE DDS (PRESIDENT)
(949) 798-9591
Entity
Organization
Contact information
Practice address
14221 INGLEWOOD AVE, HAWTHORNE, CA 90250-6729
(310) 675-4929
Mailing address
9432 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
(714) 537-5350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60173
CA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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