| Mike M. Lee, Dds, Inc. | |
|
41797 Nicole Ln Temecula CA 92591-3870 | |
| (951) 695-7733 | |
| Not Available |
| Full Name | Mike M. Lee, Dds, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 41797 Nicole Ln, Temecula, California |
| Authorized Official Name and Position | Mike Lee (CEO) |
| Authorized Official Contact | 9516957733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike M. Lee, Dds, Inc. 41797 Nicole Ln Temecula CA 92591-3870 Ph: (951) 695-7333 | Mike M. Lee, Dds, Inc. 41797 Nicole Ln Temecula CA 92591-3870 Ph: (951) 695-7733 |
| NPI Number | 1336479963 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336479963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 50076 (California) | Primary |
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