Individual
DR. JONATHAN D. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
555 MARIN ST, SUITE 260, THOUSAND OAKS, CA 91360-4236
(805) 370-0110
(805) 370-3711
Mailing address
555 MARIN ST, SUITE 260, THOUSAND OAKS, CA 91360-4236
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
49924
CA
Other
Enumeration date
07/06/2007
Last updated
09/28/2011
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