Individual
KIRA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 VERDUGO BLVD STE 312, GLENDALE, CA 91208-1456
(818) 790-6721
Mailing address
5028 PRINCESS ANNE RD, LA CANADA, CA 91011-2423
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS103603
CA
Other
Enumeration date
03/02/2017
Last updated
02/01/2021
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