Individual
DR. ANDY SUNGMIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3290 ARENA BLVD STE 610, SACRAMENTO, CA 95834-3003
(916) 574-9400
Mailing address
2983 CUMBERLAND RD, FULLERTON, CA 92833-5535
(319) 541-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857665
MA
1223P0300X
Periodontics
Primary
DDS106093
CA
Other
Enumeration date
06/28/2017
Last updated
04/27/2021
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