Lee, Jason S

Lee, Jason S is an individual health care provider with primary practice located at 1183 E Foothill Blvd Unit 240, Upland CA 91786-4049. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Jason S can be contacted via phone (909) 981-6882.

Contact Information

Primary practice address
1183 E Foothill Blvd Unit 240 Upland CA 91786-4049
Phone: (909) 981-6882
Fax: (909) 981-0276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 47386 California

Profile Details

NPI number 1528112257
LBN Legal business name Lee, Jason S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528112257 NPPES
California MEDICAID D47386

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