| Jae Won Lee Dds, Inc | |
|
66450 Pierson Blvd Desert Hot Springs CA 92240-3672 | |
| (907) 346-0130 | |
| Not Available |
| Full Name | Jae Won Lee Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 66450 Pierson Blvd, Desert Hot Springs, California |
| Authorized Official Name and Position | Jae Won Lee (DENTIST) |
| Authorized Official Contact | 9073460130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Won Lee Dds, Inc 11072 Wilson Cv Loma Linda CA 92354-6512 Ph: (907) 346-0130 | Jae Won Lee Dds, Inc 66450 Pierson Blvd Desert Hot Springs CA 92240-3672 Ph: (907) 346-0130 |
| NPI Number | 1265148605 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 04/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265148605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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