Provider Demographics
NPI:1699946384
Name:LEE, JULIANA YUN HWA (DDS)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:YUN HWA
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 1:1223 BEGOVICH ST
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-5052
Mailing Address - Country:US
Mailing Address - Phone:786-651-8381
Mailing Address - Fax:
Practice Address - Street 1:1223 BEGOVICH ST
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-5052
Practice Address - Country:US
Practice Address - Phone:786-651-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist