Organization · Type 2 NPI

C. Jack Lee, D.m.d., Inc.

Dental Clinic/Center · Fullerton, CA

NPI number 1851592950 Active

Practice location

1321 N Harbor Blvd, Suite 200
Fullerton, CA 92835-4124

Fax (714) 871-2338

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X45903 (CA)

Dental Clinic/Center: Definition to come...

13 other providers at this address

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About NPI 1851592950

C. Jack Lee, D.m.d., Inc.'s National Provider Identifier is 1851592950, issued on May 29, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fullerton, CA. The record was last updated on Feb 14, 2008.