| Dr Jeffrey Lee Md Dmd | |
|
17452 Irvine Blvd Suite 100 Tustin CA 92780-3031 | |
| (714) 734-9363 | |
| (714) 734-9362 |
| Full Name | Dr Jeffrey Lee Md Dmd |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 17452 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Jeffrey Lee (OWNER SURGEON) |
| Authorized Official Contact | 7147349363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Lee Md Dmd 17452 Irvine Blvd Suite 100 Tustin CA 92780-3031 Ph: (714) 734-9363 | Dr Jeffrey Lee Md Dmd 17452 Irvine Blvd Suite 100 Tustin CA 92780-3031 Ph: (714) 734-9363 |
| NPI Number | 1932248085 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932248085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 00008 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | G73560 (California) | Primary |
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