Individual provider · Type 1 NPI
Samuel Sung-Jae Lee, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · San Clemente, CA
Practice location
511 Calle Malaguena
San Clemente, CA 92672-2357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 56206 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1447445192
Samuel Sung-Jae Lee, DDS, M.S.'s National Provider Identifier is 1447445192, issued on Sep 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Clemente, CA. The record was last updated on Mar 17, 2011.