| John Lee Jr Dmd Inc | |
|
4183 Chino Hills Pkwy Ste H Chino Hills CA 91709-3781 | |
| (909) 393-5300 | |
| Not Available |
| Full Name | John Lee Jr Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4183 Chino Hills Pkwy Ste H, Chino Hills, California |
| Authorized Official Name and Position | John Lee (PRESIDENT) |
| Authorized Official Contact | 6263725402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Lee Jr Dmd Inc 147 Junipero Serra Dr Apt D San Gabriel CA 91776-1238 Ph: () - | John Lee Jr Dmd Inc 4183 Chino Hills Pkwy Ste H Chino Hills CA 91709-3781 Ph: (909) 393-5300 |
| NPI Number | 1447824412 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447824412 | NPI | - | NPPES |
| 1821495573 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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