Individual
DR. RACHEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
505 S BONNIE BRAE ST APT 501, LOS ANGELES, CA 90057-5232
(626) 354-1035
Mailing address
505 S BONNIE BRAE ST APT 501, LOS ANGELES, CA 90057-5232
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
101250
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
LL-386-14
NV
Other
Enumeration date
02/10/2014
Last updated
03/17/2018
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