Provider Demographics
NPI:1447444658
Name:LEE, JEE S (DDS)
Entity type:Individual
Prefix:DR
First Name:JEE
Middle Name:S
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 BARRANCA PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4756
Mailing Address - Country:US
Mailing Address - Phone:949-786-1234
Mailing Address - Fax:949-786-1515
Practice Address - Street 1:4330 BARRANCA PKWY STE 230
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4756
Practice Address - Country:US
Practice Address - Phone:949-786-1234
Practice Address - Fax:949-786-1515
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA473871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice