| Stacey A Lee, A Dental Corporation | |
|
348 Taraval St San Francisco CA 94116-1953 | |
| (415) 564-6800 | |
| Not Available |
| Full Name | Stacey A Lee, A Dental Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 348 Taraval St, San Francisco, California |
| Authorized Official Name and Position | Stacey A Lee (PRESIDENT) |
| Authorized Official Contact | 4153504489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Lee, A Dental Corporation 348 Taraval St San Francisco CA 94116-1953 Ph: (415) 350-4489 | Stacey A Lee, A Dental Corporation 348 Taraval St San Francisco CA 94116-1953 Ph: (415) 564-6800 |
| NPI Number | 1356818256 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356818256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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