OrganizationActive
Mason Y. Lee, DDS, a Professional Corp
NPI 1013305689 · Oral and Maxillofacial Surgery Clinic/Center · San Rafael, CA
Provider details
- NPI number
- 1013305689
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mason Lee, President(415) 472-5040
- License
- 42929 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
750 Las Gallinas Ave Ste 207
San Rafael, CA 94903-3432
Phone: (415) 472-5040
Fax: (415) 472-5043
Approximate (ZIP-level) locationGet directions
Mailing address
750 Las Gallinas Ave Ste 207
San Rafael, CA 94903-3432
Registry dates
- Enumerated
- 2015-01-05
- Last updated
- 2015-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.