Provider Demographics
NPI:1821333428
Name:LEE, CHRISTINA SAEHEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:SAEHEE
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:SAEHEE
Other - Last Name:MYUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:12009 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-7822
Mailing Address - Country:US
Mailing Address - Phone:213-393-6201
Mailing Address - Fax:
Practice Address - Street 1:12009 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-7822
Practice Address - Country:US
Practice Address - Phone:562-630-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-07
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist