| NPI | 1033942677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LEE Owner Dentist 949-242-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |