Individual
DR. ELAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13035 POMERADO ROAD SUITE B, POWAY, CA 92064
(858) 205-0133
Mailing address
13035 POMERADO RD STE B, POWAY, CA 92064-4247
(858) 205-0133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100312
CA
122300000X
Dentist
Primary
12013580A
IN
Other
Enumeration date
08/11/2016
Last updated
01/03/2023
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