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Organization
S LEE DENTAL CORPORATION
Active
Organization
S LEE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN S LEE DDS (EMPLOYER)
(909) 338-1782
Entity
Organization
Contact information
Practice address
23571 LAKE DR, CRESTLINE, CA 92325-9432
(909) 338-1782
Mailing address
PO BOX 3009, CRESTLINE, CA 92325-3009
(909) 883-1782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36259
CA
Other
Enumeration date
09/29/2008
Last updated
10/06/2023
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