| Lee Dental Corporation | |
|
728 Pacific Ave Suite 610 San Francisco CA 94133 | |
| (415) 398-2828 | |
| (415) 398-7099 |
| Full Name | Lee Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 728 Pacific Ave, San Francisco, California |
| Authorized Official Name and Position | Henry S Lee (PRESIDENT) |
| Authorized Official Contact | 4153982828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Dental Corporation 728 Pacific Ave Suite 610 San Francisco CA 94133 Ph: (415) 398-2828 | Lee Dental Corporation 728 Pacific Ave Suite 610 San Francisco CA 94133 Ph: (415) 398-2828 |
| NPI Number | 1760507388 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760507388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39675 (California) | Primary |
| 122300000X | Dentist | 57678 (California) | Secondary |
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