Jae Yong Lee Dental Corp
NPI #1053743880 in La Canada, California
Provider Information
- NPI Number
- 1053743880
- Entity Type
- Organization
- Organization Name
- Jae Yong Lee Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 2, 2013
- Last Updated
- Aug 2, 2013
Practice Location
- Address
- 4924 CARMEL RD
- City
- La Canada
- State
- California
- ZIP Code
- 91011-2711
- Phone
- (213) 210-3291
Authorized Official
- Name
- DR. JAE YONG LEE, D.D.S.
- Title
- PRESIDENT
- Phone
- (213) 210-3291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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