Individual
SUSAN SUNHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 PARNASSUS AVE # S321, SAN FRANCISCO, CA 94143-2205
(415) 476-1239
Mailing address
4 ROSEBUD CT, DALY CITY, CA 94014-2992
(201) 725-2075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105822
CA
208600000X
Surgery Physician
Primary
15675
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2022
Last updated
09/22/2024
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