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Organization
JEAN LEE DDS INC
Active
Organization
JEAN LEE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN LEE (OWNER/DENTIST)
(818) 897-5055
Entity
Organization
Contact information
Practice address
11998 FOOTHILL BLVD, SYLMAR, CA 91342-7101
(818) 897-5055
Mailing address
17405 SMOKE TREE LN, SANTA CLARITA, CA 91387-3704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56137
CA
Other
Enumeration date
02/24/2012
Last updated
08/29/2012
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