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Organization

C. JACK LEE, D.M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. C. JACK LEE D.M.D. (OWNER)
(714) 871-8343
Entity
Organization

Contact information

Practice address
1321 N HARBOR BLVD, SUITE 200, FULLERTON, CA 92835-4124
(714) 871-8343
(714) 871-2338
Mailing address
1321 N HARBOR BLVD, SUITE 200, FULLERTON, CA 92835-4124
(714) 871-8343
(714) 871-2338

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45903
CA

Other

Enumeration date
05/29/2007
Last updated
02/14/2008
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