Provider Demographics
NPI:1770950362
Name:LEE, JOSHUA EUNHO (DDS)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EUNHO
Last Name:LEE
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2454 OSWEGO ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-6339
Mailing Address - Country:US
Mailing Address - Phone:917-385-0451
Mailing Address - Fax:
Practice Address - Street 1:777 S ARROYO PKWY STE 104
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3908
Practice Address - Country:US
Practice Address - Phone:626-243-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1049801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice