Dr. Jacob K. Lee
Pediatric Dentist
903 Calle Amanecer Ste 160
San Clemente
, California 92673-6272
Dr. Jacob K. Lee
Pediatric Dentist
903 Calle Amanecer Ste 160
San Clemente
, California 92673-6272
(949) 361-2838
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jacob K. Lee
- 903 Calle Amanecer Ste 160
- San Clemente, CA
- Zip : 92673-6272
- Fax : (949) 361-2838
- Phone : (949) 361-2838
Second Address
- Dr. Jacob K. Lee
- 903 Calle Amanecer Ste 160
- San Clemente, CA
- Zip : 92673-6272
- Fax : (949) 361-2838
- Phone : (949) 361-2838
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FAQs
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What type of doctor is Dr. Jacob K. Lee
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Where is Dr. Jacob K. Lee ’s practice located?
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Is Dr. Jacob K. Lee a sole practitioner?
Is Dr. Jacob K. Lee accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 38710 | CA |
National Provider Identifier
| NPI | 1083768725 |
|---|---|
| Provider Name | Dr. Jacob K. Lee |
| First Address | San Clemente, CA 92673-6272 |
| Second Address | San Clemente, CA 92673-6272 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 330880247 | FEID (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.