Individual provider · Type 1 NPI

Tyler Lee, DMD

Student in an Organized Health Care Education/Training Program · Mission Viejo, CA

NPI number 1477050755 Active

Practice location

26302 La Paz Rd Ste 102
Mission Viejo, CA 92691-5327

Call (949) 203-0076 Map

Mailing address

10998 S Maple Forest Way
South Jordan, UT 84095-4120

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDDS107439 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477050755

Tyler Lee, DMD's National Provider Identifier is 1477050755, issued on Apr 12, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mission Viejo, CA. The record was last updated on Apr 9, 2024.