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Individual
DR. JOSEPH LEE
Active
Individual
DR. JOSEPH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402304
UNITED CONCORDIA
CA
01
—
7401609
DELTA DENTAL
CA
01
—
G92150-14
GOV. STATE PROGRAM
CA
01
—
G9215014
DENTICAL
CA
Enumeration date
01/10/2007
Last updated
07/13/2011
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