| Jonathan D. Lee, D.d.s., Inc. | |
|
555 Marin St Suite 260 Thousand Oaks CA 91360-4236 | |
| (805) 370-0110 | |
| (805) 370-3770 |
| Full Name | Jonathan D. Lee, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 555 Marin St, Thousand Oaks, California |
| Authorized Official Name and Position | Jonathan Lee (PRESIDENT) |
| Authorized Official Contact | 8053700110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D. Lee, D.d.s., Inc. 555 Marin St Suite 260 Thousand Oaks CA 91360-4236 Ph: () - | Jonathan D. Lee, D.d.s., Inc. 555 Marin St Suite 260 Thousand Oaks CA 91360-4236 Ph: (805) 370-0110 |
| NPI Number | 1922272004 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922272004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 49924 (California) | Primary |
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