Susan J. Lee, Dmd, MD INC

NPI #1235754334 in Glendora, California

Provider Information

NPI Number: 1235754334
Entity Type: Organization
Organization Name: Susan J. Lee, Dmd, MD INC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Jun 15, 2020
Last Updated: Jun 15, 2020

Practice Location

Address: 175 N PENNSYLVANIA AVE STE 3
City: Glendora
State: California
ZIP Code: 91741-3316
Phone: (626) 852-0365

Authorized Official

Name: DR. SUSAN JEAN LEE, MD
Title: PRESIDENT
Phone: (818) 939-4378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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