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Individual

DR. JETSON SCOTT LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.D.

Contact information

Practice address
380 20TH AVE, SUITE 201, SAN FRANCISCO, CA 94121-2221
(415) 752-8330
(415) 752-8333
Mailing address
380 20TH AVE, SUITE 201, SAN FRANCISCO, CA 94121-2221
(415) 752-8330
(415) 752-8333

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
032870
CA

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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