Dong Sup Lee
NPI #1023705506 in Brea, California
Provider Information
- NPI Number
- 1023705506
- Entity Type
- Individual
- Name
- Dong Sup Lee
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 24, 2023
- Last Updated
- Jul 11, 2023
Practice Location
- Address
- 446 W CENTRAL AVE
- City
- Brea
- State
- California
- ZIP Code
- 92821-3004
- Phone
- (804) 928-4695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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