Provider Demographics
NPI:1003818782
Name:LEE, YUN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:YUN
Middle Name:S
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 WILSHIRE BLVD
Mailing Address - Street 2:835
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2401
Mailing Address - Country:US
Mailing Address - Phone:213-251-0066
Mailing Address - Fax:213-380-8228
Practice Address - Street 1:3550 WILSHIRE BLVD
Practice Address - Street 2:835
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2401
Practice Address - Country:US
Practice Address - Phone:213-251-0066
Practice Address - Fax:213-380-8228
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53238122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist