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General NPI Number Information
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NPI Number | 1669065108
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Entity Type | Individual
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Provider Name | WILLIAM S LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 18121 CHATSWORTH ST STE A
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5610
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Country | US
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Telephone | 818-360-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 REXFORD DR APT 102
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City | LOS ANGELES
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State | CA
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Zip | 90035-3148
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Country | US
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Telephone | 443-797-2720
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 111901
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License Number State | CA
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