Individual provider · Type 1 NPI

Jay Lee, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1134418304 Active

Practice location

2080 Century Park E Ste 610
Los Angeles, CA 90067-2009

Mailing address

2080 Century Park East Suite 610
Los Angeles, CA 90035

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X149022 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X101264 (CA)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1134418304

Jay Lee, DDS, MD's National Provider Identifier is 1134418304, issued on Mar 28, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 12, 2017.