Individual
DR. JESSICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4600
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
64564
CA
Other
Enumeration date
06/25/2012
Last updated
11/23/2022
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