| Jacob K Lee, Dds, A Professional Corporation | |
|
28242 Airoso St Rancho Mission Viejo CA 92694-1878 | |
| (949) 242-0070 | |
| Not Available |
| Full Name | Jacob K Lee, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 28242 Airoso St, Rancho Mission Viejo, California |
| Authorized Official Name and Position | Jacob Lee (OWNER DENTIST) |
| Authorized Official Contact | 9492420070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob K Lee, Dds, A Professional Corporation 28242 Airoso St Rancho Mission Viejo CA 92694-1878 Ph: (949) 242-0070 | Jacob K Lee, Dds, A Professional Corporation 28242 Airoso St Rancho Mission Viejo CA 92694-1878 Ph: (949) 242-0070 |
| NPI Number | 1033942677 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033942677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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