| Jae Bum Lee Dds Inc | |
|
401 S Glenoaks Blvd #100 Burbank CA 91502 | |
| (818) 566-4438 | |
| Not Available |
| Full Name | Jae Bum Lee Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 401 S Glenoaks Blvd, Burbank, California |
| Authorized Official Name and Position | Jae Bum Lee (DENTIST) |
| Authorized Official Contact | 2139994145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Bum Lee Dds Inc 401 S Glenoaks Blvd Ste 100 Burbank CA 91502-2707 Ph: (818) 566-4438 | Jae Bum Lee Dds Inc 401 S Glenoaks Blvd #100 Burbank CA 91502 Ph: (818) 566-4438 |
| NPI Number | 1497277321 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497277321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62547 (California) | Primary |
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