Organization
JACOB K LEE, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB LEE DDS (OWNER DENTIST)
(949) 242-0070
Entity
Organization
Contact information
Practice address
28242 AIROSO ST, RANCHO MISSION VIEJO, CA 92694-1878
(949) 242-0070
Mailing address
28242 AIROSO ST, RANCHO MISSION VIEJO, CA 92694-1878
(949) 242-0070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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