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Organization
C. JACK LEE, D.M.D., INC.
Active
Organization
C. JACK LEE, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. JACK LEE D.M.D. (OWNER)
(714) 871-8343
Entity
Organization
Contact information
Practice address
1321 N HARBOR BLVD, SUITE 200, FULLERTON, CA 92835-4124
(714) 871-8343
(714) 871-2338
Mailing address
1321 N HARBOR BLVD, SUITE 200, FULLERTON, CA 92835-4124
(714) 871-8343
(714) 871-2338
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45903
CA
Other
Enumeration date
05/29/2007
Last updated
02/14/2008
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