ELAN LEE

POWAY, CA
NPI1578017232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12013580A)
Additional Taxonomies122300000X Dentist
(Licence: CA  100312)
Enumeration Date2016-08-11
Last Update Date2023-01-03
Business Address
Dr. ELAN LEE D.D.S.
13035 POMERADO ROAD SUITE B
POWAY, CA 92064
Phone number: 858-205-0133
Mailing Address
Dr. ELAN LEE D.D.S.
13035 POMERADO RD STE B
POWAY, CA 92064-4247
Phone number: 858-205-0133