| Ju Y Lee Dental Corporation | |
|
1096 Irvine Blvd Tustin CA 92780 | |
| (714) 838-2875 | |
| (714) 838-2887 |
| Full Name | Ju Y Lee Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1096 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Juyoung Lee (DENTIST) |
| Authorized Official Contact | 7148382875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ju Y Lee Dental Corporation 1096 Irvine Blvd Tustin CA 92780-3527 Ph: (714) 838-2875 | Ju Y Lee Dental Corporation 1096 Irvine Blvd Tustin CA 92780 Ph: (714) 838-2875 |
| NPI Number | 1194251306 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194251306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61258 (California) | Primary |
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