Organization
MASON Y. LEE, DDS, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON Y LEE DDS, MD (PRESIDENT)
(415) 472-5040
Entity
Organization
Contact information
Practice address
750 LAS GALLINAS AVE STE 207, SAN RAFAEL, CA 94903-3432
(415) 472-5040
(415) 472-5043
Mailing address
750 LAS GALLINAS AVE STE 207, SAN RAFAEL, CA 94903-3432
(415) 472-5040
(415) 472-5043
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
42929
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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