Organization · Type 2 NPI

Mason Y. Lee, Dds, A Professional Corp

Oral and Maxillofacial Surgery Clinic/Center · San Rafael, CA

NPI number 1013305689 Active

Practice location

750 Las Gallinas Ave Ste 207
San Rafael, CA 94903-3432

Fax (415) 472-5043

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X42929 (CA)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

About NPI 1013305689

Mason Y. Lee, Dds, A Professional Corp's National Provider Identifier is 1013305689, issued on Jan 5, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in San Rafael, CA. The record was last updated on Jan 5, 2015.