Jin Il T. Lee, D.d.s., a Professional Corporation
NPI #1174744569 in Ventura, California
Provider Information
- NPI Number
- 1174744569
- Entity Type
- Organization
- Organization Name
- Jin Il T. Lee, D.d.s., a Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1752 S VICTORIA AVE
- Address 2
- SUITE 200
- City
- Ventura
- State
- California
- ZIP Code
- 93003-6192
- Phone
- (805) 644-0600
Authorized Official
- Name
- DR. JIN IL TAEK LEE, D.D.S.
- Title
- OWNER
- Phone
- (805) 644-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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