Organization
SHAUNA R. LEE, DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNA R. LEE DDS (CEO)
(323) 269-8007
Entity
Organization
Contact information
Practice address
4146 E OLYMPIC BLVD STE F, LOS ANGELES, CA 90023-3347
(323) 269-8007
(323) 269-2720
Mailing address
4146 E OLYMPIC BLVD STE F, LOS ANGELES, CA 90023-3347
(323) 269-8007
(323) 269-2720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39030
CA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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