Individual
DR. CRYSTAL J LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
903 CALLE AMANECER STE 110, SAN CLEMENTE, CA 92673-6253
(949) 361-2838
Mailing address
151 ACAMAR, IRVINE, CA 92618-1054
(909) 815-8826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104153
CA
Other
Enumeration date
04/03/2018
Last updated
01/25/2021
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