Organization
S LEE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LEE DDS (OWNER)
(909) 824-7000
Entity
Organization
Contact information
Practice address
23571 LAKE DR, CRESTLINE, CA 92325-9432
(909) 338-1782
Mailing address
23571 LAKE DR, CRESTLINE, CA 92325-9432
(909) 338-1782
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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