Dr. Kwang Deuk Lee, D.D.S
Dentist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1083005508
StatusActive
Last updated in NPPESDec 27, 2021
Details
- NPI
- 1083005508
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kwang Deuk Lee
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2015
- Certification date
- Dec 27, 2021
- Last updated
- Dec 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 64322 | CA | Yes |
Other names
- Danny Lee (Professional Name)
Practice location
5205 Melrose AveLos Angeles, CA 90038-3144
Phone 323-653-1990
Mailing address
5205 Melrose AveLos Angeles, CA 90038-3144
Phone 323-653-1990
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