Jonathan D. Lee D.D.S.

NPI 1669670113 - Dentist - 1223E0200X

NPI Details
NPI 1669670113
Gender Male
Enumeration Date 07/06/2007
Last Updated 09/28/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
555 MARIN ST
SUITE 260
THOUSAND OAKS CA, 91360-4236, US
Phone (805) 370-0110
Fax (805) 370-3711
Business Location
555 MARIN ST
SUITE 260
THOUSAND OAKS CA, 91360-4236, US
Phone
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State California
License Number 49924
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According to our database, Dr. Jonathan D. Lee D.D.S. NPI is 1669670113, taxonomy code is 1223E0200X and license number is 49924, license state is located at California. Jonathan D. Lee D.D.S. physically located at 555 Marin St, Thousand Oaks CA, 91360-4236. NPI Number Jonathan D. Lee D.D.S. has the Individual type.

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1669670113 NPI number is provided on an as is basis without warranty of any kind. 1669670113 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan D. Lee D.D.S. are for informational purposes only.