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Organization

JAE WON LEE DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAE WON LEE DDS (DENTIST)
(907) 346-0130
Entity
Organization

Contact information

Practice address
66450 PIERSON BLVD, DESERT HOT SPRINGS, CA 92240-3672
(907) 346-0130
Mailing address
11072 WILSON CV, LOMA LINDA, CA 92354-6512
(907) 346-0130

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/30/2023
Last updated
04/02/2023
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