| Shauna R. Lee, Dds Dental Corporation | |
|
4146 E Olympic Blvd Ste F Los Angeles CA 90023-3347 | |
| (323) 269-8007 | |
| (323) 269-2720 |
| Full Name | Shauna R. Lee, Dds Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4146 E Olympic Blvd Ste F, Los Angeles, California |
| Authorized Official Name and Position | Shauna R. Lee (CEO) |
| Authorized Official Contact | 3232698007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shauna R. Lee, Dds Dental Corporation 4146 E Olympic Blvd Ste F Los Angeles CA 90023-3347 Ph: (323) 269-8007 | Shauna R. Lee, Dds Dental Corporation 4146 E Olympic Blvd Ste F Los Angeles CA 90023-3347 Ph: (323) 269-8007 |
| NPI Number | 1851884886 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851884886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39030 (California) | Primary |
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