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Organization
JOHN LEE JR DMD INC
Active
Organization
JOHN LEE JR DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEE JR. DMD (PRESIDENT)
(626) 372-5402
Entity
Organization
Contact information
Practice address
4183 CHINO HILLS PKWY STE H, CHINO HILLS, CA 91709-3781
(909) 393-5300
Mailing address
147 JUNIPERO SERRA DR APT D, SAN GABRIEL, CA 91776-1238
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821495573
—
CA
Enumeration date
05/14/2021
Last updated
05/14/2021
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