Individual
JOANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(510) 917-7342
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
103720
CA
1223P0221X
Pediatric Dentistry
Primary
DTT-349-0
HI
Other
Enumeration date
05/30/2019
Last updated
01/11/2022
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