| Brian Lee, Dds, Inc. | |
|
18832 Brookhurst St Fountain Valley CA 92708-7304 | |
| (714) 964-0036 | |
| (714) 964-5336 |
| Full Name | Brian Lee, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 18832 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Brian Lee (CEO) |
| Authorized Official Contact | 7149640036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Lee, Dds, Inc. 18832 Brookhurst St Fountain Valley CA 92708-7304 Ph: (714) 964-0036 | Brian Lee, Dds, Inc. 18832 Brookhurst St Fountain Valley CA 92708-7304 Ph: (714) 964-0036 |
| NPI Number | 1750855995 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 01/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750855995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
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