Most Relevant Information
Provider Data
NPI Number: | 1003536251 |
Provider Name: | YONGJAE LEE DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 107879 |
Most Important Dates
Enumeration Date: | 08/29/2022 |
Last Updated: | 08/29/2022 |
Provider Practice Location
900 S WESTMORELAND AVE STE 206
LOS ANGELES
CA
900065671
Practice Location Phone/Fax
Phone: | 2133521166 |
Fax: |
Provider Mailing Location
16963 BRIGHTON AVE
GARDENA
CA
902475420
Provider Mailing Phone/Fax
Phone: | 2133521166 |
Fax: |