# JONATHAN D. LEE, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922272004
- **Authorized official:** JONATHAN LEE D.D.S. (PRESIDENT)
- **Authorized official phone:** (805) 370-0110

## Contact information

- **Practice address:** 555 MARIN ST, SUITE 260, THOUSAND OAKS, CA 91360-4236
- **Practice address phone:** (805) 370-0110
- **Practice address fax:** (805) 370-3770
- **Mailing address:** 555 MARIN ST, SUITE 260, THOUSAND OAKS, CA 91360-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 49924 | CA | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 09/28/2011