Individual
MR. SEAN EDWARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL ASSISTANT
Contact information
Practice address
11764 WILMINGTON AVE, LOS ANGELES, CA 90059-2553
(323) 484-9260
Mailing address
3546 LOS FLORES BLVD APT H, LYNWOOD, CA 90262-2618
(323) 200-1884
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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