Individual
DR. BENNETT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
619 S 1ST AVE, ARCADIA, CA 91006-3834
(626) 445-1429
Mailing address
619 S 1ST AVE, ARCADIA, CA 91006-3834
(626) 445-1429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36958
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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