Jason Sangjae Lee, D.D.S.

NPI #1942605969 in Sebastopol, California

Provider Information

NPI Number: 1942605969
Entity Type: Individual
Name: Jason Sangjae Lee, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 3, 2014
Last Updated: Jun 7, 2016

Practice Location

Address: 7138 WILLOW ST
City: Sebastopol
State: California
ZIP Code: 95472-4306
Phone: (707) 823-5308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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