Tae W Lee, DDS Valid NPI
Individual provider · General Practice Dentistry · Tracy, CA
- NPI
- 1235207630
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 54879 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-08
Practice location
2135 N Tracy Blvd
Tracy, CA 95376-2424
(209) 836-4950