| Lee,n.grace Dds,inc | |
|
7743 West Ln Suite C5 Stockton CA 95210-3348 | |
| (209) 474-1101 | |
| (209) 474-9734 |
| Full Name | Lee,n.grace Dds,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7743 West Ln, Stockton, California |
| Authorized Official Name and Position | Nanjoo Lee (CEO) |
| Authorized Official Contact | 2095529158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee,n.grace Dds,inc 7743 West Ln Suite C5 Stockton CA 95210-3348 Ph: () - | Lee,n.grace Dds,inc 7743 West Ln Suite C5 Stockton CA 95210-3348 Ph: (209) 474-1101 |
| NPI Number | 1497095749 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497095749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47930 (California) | Primary |
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