Provider Demographics
NPI:1134674369
Name:STEVE LEE
Entity Type:Organization
Organization Name:STEVE LEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-271-6002
Mailing Address - Street 1:1620 DUVALL AVE NE STE A
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-3975
Mailing Address - Country:US
Mailing Address - Phone:425-271-6002
Mailing Address - Fax:425-271-6314
Practice Address - Street 1:1620 DUVALL AVE NE STE A
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-3975
Practice Address - Country:US
Practice Address - Phone:425-271-6002
Practice Address - Fax:425-271-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA54511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty