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Organization
DR JEFFREY LEE MD DMD
Active
Organization
DR JEFFREY LEE MD DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE MD DMD (OWNER SURGEON)
(714) 734-9363
Entity
Organization
Contact information
Practice address
17452 IRVINE BLVD, SUITE 100, TUSTIN, CA 92780-3031
(714) 734-9363
(714) 734-9362
Mailing address
17452 IRVINE BLVD, SUITE 100, TUSTIN, CA 92780-3031
(714) 734-9363
(714) 734-9362
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
00008
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
G73560
CA
Other
Enumeration date
02/05/2007
Last updated
08/22/2013
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