Organization · Type 2 NPI

Jae Yong Lee Dental Corp

Dental Clinic/Center · La Canada, CA

NPI number 1053743880 Active

Practice location

4924 Carmel Rd
La Canada, CA 91011-2711

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X47932 (CA)

Dental Clinic/Center: Definition to come...

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About NPI 1053743880

Jae Yong Lee Dental Corp's National Provider Identifier is 1053743880, issued on Aug 2, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Canada, CA. The record was last updated on Aug 2, 2013.