Provider Demographics
NPI:1871855254
Name:LEE, KAREN HUI-JU (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:HUI-JU
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23441 GOLDEN SPRINGS DR
Mailing Address - Street 2:5571
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2030
Mailing Address - Country:US
Mailing Address - Phone:213-254-5435
Mailing Address - Fax:
Practice Address - Street 1:23441 GOLDEN SPRINGS DR
Practice Address - Street 2:5571
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2030
Practice Address - Country:US
Practice Address - Phone:213-254-5435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61388122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist