| Jean Lee Dds Inc | |
|
11998 Foothill Blvd Sylmar CA 91342-7101 | |
| (818) 897-5055 | |
| Not Available |
| Full Name | Jean Lee Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11998 Foothill Blvd, Sylmar, California |
| Authorized Official Name and Position | Jean Lee (OWNER/DENTIST) |
| Authorized Official Contact | 8188975055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Lee Dds Inc 17405 Smoke Tree Ln Santa Clarita CA 91387-3704 Ph: () - | Jean Lee Dds Inc 11998 Foothill Blvd Sylmar CA 91342-7101 Ph: (818) 897-5055 |
| NPI Number | 1861766768 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861766768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56137 (California) | Primary |
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