Crystal J. Lee, DDS

General Practice Dentistry · San Clemente, CA

Individual Active NPI

NPI number 1790281202

Practice location

903 Calle Amanecer Ste 110
San Clemente, CA 92673-6253

Phone: (949) 361-2838

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NPI record

NPI: 1790281202
Entity type: Individual (Type 1)
Enumeration date: April 3, 2018
Last updated: January 25, 2021
Certified: January 25, 2021
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	104153	CA

Mailing address

151 Acamar
Irvine, CA 92618-1054

Phone: (909) 815-8826

About Dr. Lee

Crystal J. Lee, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 903 Calle Amanecer Ste 110, San Clemente, CA 92673-6253. The NPI number 1790281202 was assigned on April 3, 2018 and the record was last updated on January 25, 2021.

Dr. Lee lists a license in the registry: #104153 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal J. Lee, DDS?

The NPI number is 1790281202.

What is the phone number of Dr. Lee?

The phone number listed for the practice location is (949) 361-2838.

Where is Dr. Lee located?

903 Calle Amanecer Ste 110, San Clemente, CA 92673-6253.

What is the taxonomy code for Dr. Lee?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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