Organization
JAY K LEE DDS MD INC A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LEE DDS, MD (OWNER)
(310) 842-4811
Entity
Organization
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
2080 CENTURY PARK E STE 610, LOS ANGELES, CA 90067-2009
(310) 842-4811
(310) 286-2177
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
03/04/2020
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