| Organization Name: | HENRY S. LEE, D.D.S. |
| NPI Number: | 1205241494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY LEE (DOCTOR/ PRESIDENT) |
| Mailing Address: | 9849 Atlantic Ave Ste F South Gate |
| State: | CA US |
| Postal Code: | 902805200 |
| Phone Number: | 3235647777 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 45131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |