Provider Demographics
NPI:1003975814
Name:LEE, DEBBIE ROSLYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:ROSLYN
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 LIMERICK DR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3407
Mailing Address - Country:US
Mailing Address - Phone:714-985-1011
Mailing Address - Fax:
Practice Address - Street 1:1244 LIMERICK DRIVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870
Practice Address - Country:US
Practice Address - Phone:714-985-1011
Practice Address - Fax:714-985-1011
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37574122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist