| S Lee Dental Corporation | |
|
23571 Lake Dr Crestline CA 92325-9432 | |
| (909) 338-1782 | |
| Not Available |
| Full Name | S Lee Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 23571 Lake Dr, Crestline, California |
| Authorized Official Name and Position | Sean S Lee (EMPLOYER) |
| Authorized Official Contact | 9093381782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Lee Dental Corporation Po Box 3009 Crestline CA 92325-3009 Ph: (909) 883-1782 | S Lee Dental Corporation 23571 Lake Dr Crestline CA 92325-9432 Ph: (909) 338-1782 |
| NPI Number | 1376793133 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376793133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36259 (California) | Primary |
S Lee Dental Corporation Dental Clinic Medicare: Medicare Enrolled Practice Location: 23571 Lake Dr, Crestline, CA 92325 Phone: 909-338-1782 |