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: |