| Scott Lee Dds Dental Corp | |
|
140 W Shaw Ave Fresno CA 93704-2817 | |
| (559) 226-9472 | |
| (559) 226-9486 |
| Full Name | Scott Lee Dds Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 W Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Scott Muntae Lee (PRESIDENT) |
| Authorized Official Contact | 5592841784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Lee Dds Dental Corp 140 W Shaw Ave Fresno CA 93704-2817 Ph: (559) 226-9472 | Scott Lee Dds Dental Corp 140 W Shaw Ave Fresno CA 93704-2817 Ph: (559) 226-9472 |
| NPI Number | 1275921058 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 01/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275921058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39438 (California) | Primary |
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