MASON Y. LEE DDS A PROFESSIONAL CORP NPI 1013305689

NPI Information

  • NPI: 1013305689
  • Provider Name: MASON Y. LEE, DDS, A PROFESSIONAL CORP
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 750 LAS GALLINAS AVE STE 207
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 472-5040

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NPI Details

MASON Y. LEE, DDS, A PROFESSIONAL CORP is an oral and maxillofacial surgery clinic center in San Rafael, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MASON Y. LEE, DDS, A PROFESSIONAL CORP NPI is 1013305689. The provider is registered as an organization entity type.

The provider's business location address is:

750 LAS GALLINAS AVE STE 207
SAN RAFAEL, CA
ZIP 94903-432
Phone: (415) 472-5040
Fax: (415) 472-5043

The provider's authorized official is Mason Y Lee .
The authorized official title is President and has the following contact phone number (415) 472-5040.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 1/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery42929CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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