| Jia Y Lee Dds Inc | |
|
9477 Haven Ave Rancho Cucamonga CA 91730-5844 | |
| (909) 989-5598 | |
| (909) 989-2225 |
| Full Name | Jia Y Lee Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 9477 Haven Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jessica Urbina (OFFICE MANAGER) |
| Authorized Official Contact | 9099895598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jia Y Lee Dds Inc 9477 Haven Ave Rancho Cucamonga CA 91730-5844 Ph: (909) 989-5598 | Jia Y Lee Dds Inc 9477 Haven Ave Rancho Cucamonga CA 91730-5844 Ph: (909) 989-5598 |
| NPI Number | 1548686629 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 8921327602 |
|---|---|
| Medicare Enrollment ID | O20211025002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548686629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43358 (California) | Primary |
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