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Dr. Jacob K. Lee, DDS
Pediatric Dentist in San Clemente, California
NPI 1083768725

Jacob K. Lee is a Pediatric Dentist based in San Clemente, CA and is specialized in Pediatric Dentistry. Jacob K. Lee practices in San Clemente, CA and has the professional credentials of DDS. The NPI Number for Jacob K. Lee is 1083768725 and holds a License No. 38710 (California).

The current practice location address for Jacob K. Lee is 903 Calle Amanecer Ste 160, San Clemente, CA and can be reached out via phone at 949-361-2838 and via fax at 949-361-2838.

Location: 903 Calle Amanecer Ste 160, San Clemente, CA, 92673-6272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083768725
Provider Name
Jacob K. Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
903 Calle Amanecer Ste 160, San Clemente, CA, 92673-6272
Phone Number
949-361-2838
Fax Number
949-361-2838
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330880247 01 CA FEID
institution
Provider Business Practice Location Address Details
Address
903 Calle Amanecer Ste 160
City
San Clemente
State
California
Zip
92673-6272
Phone Number
949-361-2838
Fax Number
949-361-2838
person
Provider Business Mailing Address Details
Address
903 Calle Amanecer Ste 160
City
San Clemente
State
California
Zip
92673-6272
Phone Number
949-361-2838
Fax Number
949-361-2838
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
38710 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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