Individual
DR. JONATHON EVERETT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
44730
CA
1223P0221X
Pediatric Dentistry
Primary
44730
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
44730
CA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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