Bruce H Lee, DDS Valid NPI
Individual provider · General Practice Dentistry · Portola, CA
- NPI
- 1568563807
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 25274 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Practice location
181 S Gulling St
Portola, CA 96122-9609
(530) 832-4461