Gannon Ka Lee, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Mission Viejo, CA
- NPI
- 1386783736
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 48629 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-05
- Last updated
- 2025-07-21
Practice location
26800 Crown Valley Pkwy Ste 405
Mission Viejo, CA 92691-8022
(949) 448-7667