Charles Peters Lee, DDS Valid NPI
Individual provider · General Practice Dentistry · Loma Linda, CA
- NPI
- 1891942744
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 25930 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-08-22
- Last updated
- 2008-08-22
Practice location
11092 Anderson Street, Llu School Of Dentistry
Loma Linda, CA 92350
(909) 558-4613