Individual
DR. EDWARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
925 W 34TH ST ADVANCED PERIODONTOLOGY RESIDENT ROOM 119, LOS ANGELES, CA 90089-0001
(213) 740-5006
Mailing address
925 W 34TH ST ADVANCED PERIODONTOLOGY RESIDENT ROOM 119, LOS ANGELES, CA 90089-0001
(213) 740-5006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS108904
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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