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DR. THOMAS MARK LEE D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1790873206

Individual Registrant:
DR. THOMAS MARK LEE D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
13681 SKYWAY  MAGALIA, CA 95954-9749 US
Tel: 530-872-8585  Fax: 530-872-8555

Contact information for business:
PO BOX1000 13681 SKYWAY MAGALIA, CA 95954 US
Tel: 530-872-8585  Fax: 530-872-8555

Registration Information:
NPI: 1790873206
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA28470

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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