Individual
DR. MASON Y. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, APC
Contact information
Practice address
750 LAS GALLINAS AVE, SUITE #207, SAN RAFAEL, CA 94903-3438
(415) 472-5040
(415) 472-5043
Mailing address
750 LAS GALLINAS AVE, SUITE #207, SAN RAFAEL, CA 94903-3438
(415) 472-5040
(415) 472-5043
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
42929
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A070735
CA
Other
Enumeration date
12/11/2006
Last updated
10/29/2014
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