Organization
JIN K LEE DDS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN KYU LEE DDS (CEO)
(909) 889-1977
Entity
Organization
Contact information
Practice address
1579 N D ST, SAN BERNARDINO, CA 92405-4742
(909) 889-1977
(909) 889-3989
Mailing address
1579 N D ST, SAN BERNARDINO, CA 92405-4742
(909) 889-1977
(909) 889-3989
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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