Individual
DR. JOSEPH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 MAIN ST APT 1086, IRVINE, CA 92614-3202
(510) 394-4410
Mailing address
50 JOHNSTONE DR APT 306, SAN FRANCISCO, CA 94131-1130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
105693
CA
1223P0700X
Prosthodontics
Primary
105693
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
10/11/2023
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