Individual provider · Type 1 NPI

Susan J. Lee, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Tarzana, CA

NPI number 1083775696 Active

Practice location

18372 Clark St, Suite 224
Tarzana, CA 91356-3508

Call (818) 996-1200 Map

Fax (818) 996-1325

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XA94671 (CA)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XA94671 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1083775696

Susan J. Lee, DMD, MD's National Provider Identifier is 1083775696, issued on Dec 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tarzana, CA. The record was last updated on Sep 11, 2025.