Pediatric Dentistry of San Clemente
NPI #1902687346 in San Clemente, California
Provider Information
- NPI Number
- 1902687346
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry of San Clemente
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 11, 2023
- Last Updated
- Oct 11, 2023
Practice Location
- Address
- 903 CALLE AMANECER STE 110
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-6253
- Phone
- (949) 361-2838
Authorized Official
- Name
- JACOB K LEE, DDS
- Title
- CEO
- Phone
- (949) 361-2838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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