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1578017232
ELAN LEE
POWAY, CA
NPI
1578017232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12013580A)
Additional Taxonomies
122300000X Dentist
(Licence: CA 100312)
Enumeration Date
2016-08-11
Last Update Date
2023-01-03
Business Address
Dr. ELAN LEE D.D.S.
13035 POMERADO ROAD SUITE B
POWAY, CA 92064
Phone number: 858-205-0133
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Mailing Address
Dr. ELAN LEE D.D.S.
13035 POMERADO RD STE B
POWAY, CA 92064-4247
Phone number: 858-205-0133
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