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Individual

MR. JOJUAN DANTE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1ST DNBN ATTN: CREDENTIALS, CAMP PENDLETON, CA 92055-5221
(210) 412-5316
Mailing address
1ST DNBN ATTN: CREDENTIALS, BOX 555221, CAMP PENDLETON, CA 92055-5221
(210) 412-5316

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
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