Individual provider · Type 1 NPI

Chang Ryul Lee

General Practice Dentistry · Los Angeles, CA

NPI number 1225640774 Active

Practice location

2805 S San Pedro St
Los Angeles, CA 90011-2023

Mailing address

953 Elden Ave Apt 113
Los Angeles, CA 90006-5795

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X105258 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1225640774

Chang Ryul Lee's National Provider Identifier is 1225640774, issued on Aug 17, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2020.