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Organization
MARINA DENTAL
Active
Organization
MARINA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S LEE D.M.D. (OWNER)
(650) 349-0111
Entity
Organization
Contact information
Practice address
2996 S NORFOLK ST STE E, SAN MATEO, CA 94403-2076
(650) 349-0111
(650) 349-0133
Mailing address
2996 S NORFOLK ST STE E, SAN MATEO, CA 94403-2076
(650) 349-0111
(650) 349-0133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037127
CA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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