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1245361856
ETHAN CHUNG AN LEE
LOS ANGELES, CA
NPI
1245361856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA D 48688)
Enumeration Date
2007-03-07
Last Update Date
2015-01-30
Business Address
-- ETHAN CHUNG AN LEE DDS
6046 WHITTIER BLVD
LOS ANGELES, CA 90022-4402
Phone number: 626-716-7078
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Mailing Address
-- ETHAN CHUNG AN LEE DDS
1230 S 4TH ST
ALHAMBRA, CA 91801-5032
Phone number: 626-282-6760
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