C. Jack Lee, D.M.D., Inc. in Fullerton - Dental

C. Jack Lee, D.M.D., Inc. - NPI 1851592950

C. Jack Lee, D.M.D., Inc. is a Dental in Fullerton, California. C. Jack Lee, D.M.D., Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for C. Jack Lee, D.M.D., Inc. is 1851592950. The last update date is 2008-02-14.

C. Jack Lee, D.M.D., Inc.'s current location address is 1321 N Harbor Blvd, Fullerton, California. You can contact this provider via phone number 7148718343 and fax number 7148712338. The mailing address for C. Jack Lee, D.M.D., Inc. is 1321 N Harbor Blvd, Fullerton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization C. Jack Lee, D.M.D., Inc.
Address 1321 N Harbor Blvd, Fullerton, California
Phone Number 7148718343
Fax Number 7148712338
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lee Jack C.
Credentials D.M.D.
Telephone Number 7148718343

NPI Number Detail

NPI Number 1851592950
Provider Enumeration Date 2007-05-29
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 1321 N Harbor Blvd
City Fullerton
State California (CA)
Post Code 928354124
Phone Number 7148718343
Fax Number 7148712338

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 45903
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about C. Jack Lee, D.M.D., Inc.

What is the C. Jack Lee, D.M.D., Inc.'s unique identification number?

The C. Jack Lee, D.M.D., Inc. has been assigned the NPI (National Provider Identifier) Number 1851592950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of C. Jack Lee, D.M.D., Inc.?

The C. Jack Lee, D.M.D., Inc. is physically situated at 1321 N Harbor Blvd, in the city of Fullerton, state of CA, with the postal code 928354124.

What is the C. Jack Lee, D.M.D., Inc.'s specialty and taxonomy code?

The C. Jack Lee, D.M.D., Inc.'s specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851592950 to C. Jack Lee, D.M.D., Inc.?

The C. Jack Lee, D.M.D., Inc. received its 1851592950 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.

When was the information related to C. Jack Lee, D.M.D., Inc. most recently updated or refreshed?

The details pertaining to the C. Jack Lee, D.M.D., Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-14.

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