Individual
DR. JONATHON EVERETT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1291 E HILLSDALE BLVD, SUITE 100, FOSTER CITY, CA 94404-1220
(650) 574-4447
(650) 574-4041
Mailing address
1291 E HILLSDALE BLVD, SUITE 100, FOSTER CITY, CA 94404-1220
(650) 574-4447
(650) 574-4041
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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