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Individual
JONATHAN QUAN LEE
Active
Individual
JONATHAN QUAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104228
CA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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