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Organization

DR JEFFREY LEE MD DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY LEE MD DMD (OWNER SURGEON)
(714) 734-9363
Entity
Organization

Contact information

Practice address
17452 IRVINE BLVD, SUITE 100, TUSTIN, CA 92780-3031
(714) 734-9363
(714) 734-9362
Mailing address
17452 IRVINE BLVD, SUITE 100, TUSTIN, CA 92780-3031
(714) 734-9363
(714) 734-9362

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
00008
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
G73560
CA

Other

Enumeration date
02/05/2007
Last updated
08/22/2013
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