| Menifee Endodontics | |
|
27174 Newport Rd Ste 1 Menifee CA 92584-7384 | |
| (951) 723-8801 | |
| Not Available |
| Full Name | Menifee Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 27174 Newport Rd Ste 1, Menifee, California |
| Authorized Official Name and Position | Jaehoon Lee (ENDODONTIST) |
| Authorized Official Contact | 9099455262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menifee Endodontics 27174 Newport Rd Ste 1 Menifee CA 92584-7384 Ph: (909) 945-5262 | Menifee Endodontics 27174 Newport Rd Ste 1 Menifee CA 92584-7384 Ph: (951) 723-8801 |
| NPI Number | 1639617632 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639617632 | NPI | - | NPPES |
| 1376928481 | Other | CA | ENDODONTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 54854 (California) | Secondary |
| 1223E0200X | Dentist - Endodontics | 63274 (California) | Primary |
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